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

Individual provider Medical Physician Assistant · NPI 1073207387

Kristin Marie Ruiz, PA-C is a Physician Assistant in Port Jefferson Station, New York. Qualified in 2023, 3 years ago. Practices with True North Medical at North Suffolk, PLLC, a 19-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1010 Route 112 Ste 300
Port Jefferson Station, NY 11776-3386
Phone: (631) 364-9119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6080 Jericho Tpke Ste 100, Commack, NY 11725-2808 — (631) 364-9119

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 029974 (NY)

Record details

NPI number1073207387
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 8, 2023
Last updated in NPPESJune 8, 2023
Certification dateJune 8, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice True North Medical At North Suffolk, Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Port Jefferson Station