Individual provider Active NPI

Manpreet Dhillon, PAC

  • Physician Assistant
  • Floral Park, NY
National Provider Identifier
1861803462
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
23017543 Issued in NY
Practice address
25510 87TH Ter
Floral Park, NY 11001-1404
Phone
(516) 884-0804
NPI assigned
May 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 23017543 NY Primary

Addresses

Primary practice location

25510 87TH Ter
Floral Park, NY 11001-1404

Mailing address

25510 87TH Ter
Floral Park, NY 11001-1404
Phone (516) 884-0804

Other names 1

  • Ms. Manpreet Dhillon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221104001727 NY Practitioner - Physician Assistant 2466829304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1117 Old Country Rd
Plainview, NY 11803-5019
Phone (516) 938-5900

1757 Sunrise Hwy
Bay Shore, NY 11706-6014

1850 Sunrise Hwy
Bay Shore, NY 11706-6012
Phone (631) 581-5900

1919 Hempstead Tpke
East Meadow, NY 11554-1710
Phone (516) 227-2273

1930 Deer Park Ave
Deer Park, NY 11729-3328
Phone (631) 254-5900

2459 Merrick Rd
Bellmore, NY 11710-5703
Phone (516) 826-2273

30 Franklin Ave
Franklin Square, NY 11010-2527
Phone (516) 352-0253

3276 Hempstead Tpke
Levittown, NY 11756-1345
Phone (516) 796-2273

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

585 Merrick Rd
Lynbrook, NY 11563-2311
Phone (516) 764-2273

656 Wellwood Ave
N
Lindenhurst, NY 11757-1695
Phone (631) 225-4227

901 Sunrise Hwy
Copiague, NY 11726-1300
Phone (631) 841-5900

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
23017543NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Apr 29, 2024 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Apr 29, 2024 Accepting new patients
Excel Medical PC PastSince Oct 1, 2018 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Interoperability endpoints

  • Direct secure messaging: mnd9014@direct.nyp.org
  • Direct secure messaging: manpreet.dhillon.1@2983.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1861803462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25510 87TH TER",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011404",
            "telephone_number": "516-884-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25510 87TH TER",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011404",
            "telephone_number": "516-884-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "MANPREET",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "23017543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANPREET",
            "last_name": "DHILLON",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Floral Park, NY

Sources for this page

Verify at the official NPI Registry.