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

Individual provider Physician Assistant · NPI 1306550140

Ryan Dekenipp, PHYSICIANASSISTANT is a Physician Assistant in Bay Shore, New York. Qualified in 2022, 4 years ago. Practices with Amit Sharma MD PC, a 3-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

340 Howells Rd Ste 2B
Bay Shore, NY 11706-5322
Phone: (833) 547-7463
Fax: (631) 318-9830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4250 Hempstead Tpke Ste 4, Bethpage, NY 11714-5707 — (833) 547-7463
  • 66 Commack Rd Ste 103, Commack, NY 11725-3405 — (833) 547-7463
  • 182 Main St, Huntington, NY 11743-6987 — (833) 547-7463

Specialties & licences

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

Record details

NPI number1306550140
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 6, 2023
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Amit Sharma Md Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bay Shore