Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew Rossano, PA

Individual provider Physician Assistant · NPI 1417998725

Matthew Rossano, PA is a Physician Assistant in Staten Island, New York. Qualified in 1998, 28 years ago. Practices with Clark Dermatology LLC, a 46-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1324 Victory Blvd
Staten Island, NY 10301-3917
Phone: (718) 448-4488
Fax: (718) 442-4874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 009267-1 (NY)

Record details

NPI number1417998725
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESMay 5, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Clark Dermatology Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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