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

Individual provider Physician Assistant · NPI 1548815731

Mr. Michael Medina, PA-C is a Physician Assistant in Bronx, New York. Qualified in 2019, 7 years ago. Practices with City Medical of Upper East Side PLLC, a 663-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
2
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

5546 Broadway
Bronx, NY 10463-5250
Phone: (917) 383-2164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 707 E Main St, Middletown, NY 10940-2650 — (845) 333-7575

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 023799 (NY)
Physician Assistant Taxonomy 363A00000X (NY)

Record details

NPI number1548815731
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2019
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice City Medical Of Upper East Side Pllc — 663 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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