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

Madison Merryman, PA

Individual provider Physician Assistant · NPI 1699459503

Madison Merryman, PA is a Physician Assistant in New York, New York. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

535 W 110th St Apt 1E
New York, NY 10025-2021
Phone: (212) 280-4740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00939100 (NJ)

Record details

NPI number1699459503
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 12, 2023
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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