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

Kaitlyn Blaire Montgomery, PA

Individual provider Physician Assistant · NPI 1538463682

Kaitlyn Blaire Montgomery, PA is a Physician Assistant in Brooklyn, New York. Qualified in 2010, 16 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 50-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2011
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

374 Stockholm St
Brooklyn, NY 11237-4006
Phone: (718) 963-7272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 288 Flatbush Ave, Brooklyn, NY 11217-2812 — (718) 656-1290

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 014224-1 (NY)

Record details

NPI number1538463682
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 4, 2011
Last updated in NPPESSeptember 23, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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