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

MS. Kaleigh A Marino, RPA-C

Individual provider Physician Assistant · NPI 1104069970

MS. Kaleigh A Marino, RPA-C is a Physician Assistant in Lynbrook, New York. Qualified in 2009, 17 years ago. Practices with Massapequa Dermatology PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2009

Practice location Address checks out

266 Merrick Rd
Lynbrook, NY 11563-2640
Phone: (516) 826-7800
Fax: (516) 826-7836
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013142 (NY)

Record details

NPI number1104069970
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedApril 9, 2009
Last updated in NPPESFebruary 27, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Massapequa Dermatology Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lynbrook