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

MS. Kimberly Ann Cossaro

Individual provider Medical Physician Assistant · NPI 1427132018

MS. Kimberly Ann Cossaro is a Physician Assistant in Massapequa, New York. Qualified in 2003, 23 years ago. Practices with Massapequa Dermatology PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
23
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
4
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Practice location Address checks out

70 Grand Ave
Massapequa, NY 11758-4906
Phone: (516) 799-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 009460 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 009460 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 009460 (NY)
Physician Assistant Taxonomy 363A00000X · Licence MP00119600 (NJ)

Record details

NPI number1427132018
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESJanuary 10, 2026
Certification dateJanuary 10, 2026
Mailing address70 Grand Ave, Massapequa, NY 11758-4906

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 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 Massapequa