Active NPIIndividual provider

Lily R Dimartino, PA-C

Physician Assistant in Livingston, New Jersey

NPI Number1366268559
Practice location
200 S Orange Ave Ste 228, Livingston, NJ 07039-5817
Fax
—
Last updated
April 7, 2026

Lily Ryan Dimartino is a Physician Assistant based in Livingston, NJ. Lily Ryan Dimartino practices in Livingston, NJ and has the professional credentials of PA-C. The NPI Number for Lily Ryan Dimartino is 1366268559 and holds a License No. 25MP01010300 (NJ). The current practice location address for Lily Ryan Dimartino is 200 S Orange Ave Ste 228, Livingston, NJ 07039-5817 and can be reached out via phone at 973-322-0133.

Provider Profile Details

NPI Number
1366268559
Provider Name
Lily Ryan Dimartino
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
200 S Orange Ave Ste 228, Livingston, NJ 07039-5817
Phone Number
973-322-0133
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
December 3, 2024
Last Update Date
April 7, 2026
Certification Date
April 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 S Orange Ave Ste 228
Livingston, NJ 07039-5817
Zip
07039-5817
Phone Number
973-322-0133
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
200 S Orange Ave Ste 228
Livingston, NJ 07039-5817
City
Livingston
State
NJ
Zip
07039-5817
Phone Number
973-322-0133

License Information

License Number
25MP01010300
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lily R Dimartino, PA-C?

The NPI number of Lily R Dimartino, PA-C is 1366268559. It was assigned on December 3, 2024 and is currently active in the NPPES registry.

What is the specialty of Lily R Dimartino, PA-C?

Lily R Dimartino, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP01010300.

Where does Lily R Dimartino, PA-C practice?

The practice location is 200 S Orange Ave Ste 228, Livingston, NJ 07039-5817. The office can be reached at 973-322-0133 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366268559 directly on the NPPES registry website.

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