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

Mr. Martin Dennis Ronan, PA-C

Individual provider Physician Assistant · NPI 1154746071

Mr. Martin Dennis Ronan, PA-C is a Physician Assistant in Williston Park, New York. Qualified in 2014, 12 years ago. Practices with The Connecticut Dermatology Group PLLC, a 29-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

95 Lipton Ln
Williston Park, NY 11596-1028
Phone: (516) 456-9679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 017418 (NY)

Record details

NPI number1154746071
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 28, 2014
Last updated in NPPESFebruary 28, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice The Connecticut Dermatology Group Pllc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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