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

Samuel B Krivit, RPA-C

Individual provider Physician Assistant · NPI 1477862225

Samuel B Krivit, RPA-C is a Physician Assistant in Stony Brook, New York. Qualified in 2010, 16 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
16
Licensed in
FL, NY
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

Hsc T12 Rm 080
Stony Brook, NY 11794-8122
Phone: (631) 444-8070
Fax: (631) 444-1535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 014711 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 9105657 (FL)

Record details

NPI number1477862225
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedSeptember 28, 2010
Last updated in NPPESJune 19, 2014

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 North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Stony Brook