Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Dominiak, PA-C

Individual provider Physician Assistant · NPI 1538811708

Michael Dominiak, PA-C is a Physician Assistant in Hicksville, New York. Qualified in 2022, 4 years ago. Practices with Hicksville Family Medical Care PLLC, a 45-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

232 W Old Country Rd
Hicksville, NY 11801-4011
Phone: (917) 310-3371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1538811708
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 19, 2022
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 16, 2022
Mailing address2417 Union Blvd Apt 1a, Islip, NY 11751-3110

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Hicksville Family Medical Care Pllc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Hicksville