Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Kristen Marie Blydenburgh, RPA-C

Individual provider Physician Assistant · NPI 1871816595

MS. Kristen Marie Blydenburgh, RPA-C is a Physician Assistant in West Islip, New York. Qualified in 2009, 17 years ago. Practices with Samaritan Medical Services PC, a 336-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2010
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Practice location Address checks out

1000 Montauk Hwy 4th Fl Annex
West Islip, NY 11795-4927
Phone: (631) 376-4444
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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 013795 (NY)

Record details

NPI number1871816595
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorYes
NPI enumeratedMarch 9, 2010
Last updated in NPPESMarch 9, 2010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Samaritan Medical Services Pc — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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