Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ignazio James Dimino, PA

Individual provider Medical Physician Assistant · NPI 1457409120

Mr. Ignazio James Dimino, PA is a Physician Assistant in Brooklyn, New York. Qualified in 1999, 27 years ago. Practices with Excel Urgent Care of Nj LLC, a 21-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2007
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

4802 10th Ave
Brooklyn, NY 11219-2916
Phone: (718) 283-6000
Fax: (718) 283-8498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 007169 (NY)

Record details

NPI number1457409120
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Excel Urgent Care Of Nj Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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