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

Mrs. Lynn Marie Guadagno, PA

Individual provider Physician Assistant · NPI 1083630958

Mrs. Lynn Marie Guadagno, PA is a Physician Assistant in Staten Island, New York. Qualified in 1999, 27 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
27
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2
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

475 Seaview Ave
Staten Island, NY 10305-3436
Phone: (718) 226-2839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 557 Cranbury Rd, East Brunswick, NJ 08816-5419 — (732) 613-9144
  • 375 Seguine Ave, Staten Island, NY 10309-3932 — (718) 226-2839

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 007049-1 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00111600 (NJ)

Record details

NPI number1083630958
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 14, 2006
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020

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 North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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