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

Individual provider Physician Assistant · NPI 1912653007

Bianca Lyzette Ruiz, PA is a Physician Assistant in Jamaica, New York. Qualified in 2022, 4 years ago. Practices with North Shore Lij Urgent Care PC, a 395-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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

9420 Guy R Brewer Blvd
Jamaica, NY 11451-0001
Phone: (718) 650-9408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1912653007
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 27, 2022
Last updated in NPPESFebruary 27, 2022
Certification dateFebruary 27, 2022

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 North Shore Lij Urgent Care Pc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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