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

MS. Dorothy Elizabeth Pedisich, PA

Individual provider Surgical Physician Assistant · NPI 1558691915

MS. Dorothy Elizabeth Pedisich, PA is a Physician Assistant in New York, New York. Qualified in 2008, 18 years ago. Practices with Ny Society for the Relief of Ruptured and Crippled Maintaining, a 175-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2010
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

535 E 70th St
New York, NY 10021-4823
Phone: (212) 606-1642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 220 East 65th Street, New York, NY 10021 — (516) 808-6691

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (NY)

Record details

NPI number1558691915
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 7, 2010
Last updated in NPPESDecember 30, 2020
Certification dateDecember 30, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Ny Society For The Relief Of Ruptured And Crippled Maintaining — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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