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

Kayla-Anne Baldemor Javier

Individual provider Physician Assistant · NPI 1447117155

Kayla-Anne Baldemor Javier is a Physician Assistant in Stony Brook, New York. Qualified in 2025, 1 year ago. Registered with an NPI since 2026.

Years since qualifying
1
In the registry since
2026

Practice location Address checks out

100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 632-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1447117155
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 6, 2026
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 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
Practice locations2 on file with Medicare

Other providers in Stony Brook