MR. MARTIN DENNIS RONAN (PA-C) – Physician Assistant, NPI 1154746071

MR. MARTIN DENNIS RONAN (PA-C) is a healthcare provider. based in Williston park, New York. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 017418 (NY). The NPI Number for MR. MARTIN DENNIS RONAN (PA-C) is 1154746071

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARTIN DENNIS RONAN (PA-C)
NPI
1154746071
Phone
Not provided
Address
95 LIPTON LN
Enumeration Date
28 February 2014
Last Update Date
28 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2033746103
Graduation Year
2014 (12 years ago)
PAC ID
0749768141
Group Practice PAC ID
9032147509
Professional Enrollment ID
I20260128001005
Address ID
CT064846240SH4XXXXDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

13,244 PHYSICIAN ASSISTANT in NY

Provider Addresses for MR. MARTIN DENNIS RONAN (PA-C)

  • 95 LIPTON LN

    WILLISTON PARK, NY 115961028

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $244.

Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Novo Nordisk Inc ($121).

Total Amount

$244

General + Research + Ownership

Payments

9

Total payment records

General Amount

$244

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260128001005IPhysician AssistantCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 11596)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032147509View full group profile
NameSpecialtyState
Physician AssistantCT
D E R M A T O L O G YCT
Nurse PractitionerCT
Physician AssistantCT
D E R M A T O L O G YNY
-CT
-TX
Physician AssistantCT
Nurse PractitionerCT
Physician AssistantCT

Reviews

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Frequently asked questions

What number should I use to identify MR. MARTIN DENNIS RONAN (PA-C) for billing?
Administrative and clinical systems typically use NPI 1154746071 for MR. MARTIN DENNIS RONAN (PA-C).
Should I treat MR. MARTIN DENNIS RONAN (PA-C) as an active provider?
Patients and plans typically see MR. MARTIN DENNIS RONAN (PA-C) as active in the national extract.
What services align with MR. MARTIN DENNIS RONAN (PA-C)'s listing?
MR. MARTIN DENNIS RONAN (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. MARTIN DENNIS RONAN (PA-C)?
MR. MARTIN DENNIS RONAN (PA-C) is associated with Williston Park, New York in the same public data insurers reference.
Can I export MR. MARTIN DENNIS RONAN (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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