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

Individual provider Physician Assistant · NPI 1356943476

Mr. Julian Charles Santiago, PA is a Physician Assistant in Selden, New York. Qualified in 2021, 5 years ago. Practices with Mount Sinai School of Medicine, a 151-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2020
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

21 Hudson St
Selden, NY 11784-2254
Phone: (631) 297-4038
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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 026448 (NY)

Record details

NPI number1356943476
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 13, 2020
Last updated in NPPESAugust 13, 2021
Certification dateAugust 13, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mount Sinai School Of Medicine — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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