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KRISTIN MARIE RUIZ PA-C
NPI 1073207387
Physician Assistant - Medical in Port Jefferson Station, NY

Active since June 08, 2023PECOS EnrolledAccepts Medicare Assignment
1010 ROUTE 112 STE 300, PORT JEFFERSON STATION, NY 11776(631) 364-9119 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristin Marie Ruiz Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTIN MARIE RUIZ PA-C (NPI 1073207387) is an individual medical provider in Port Jefferson Station, New York, licensed in New York (029974) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and maintains a secondary practice location in Commack.

NPPES Registry Identity

NPI1073207387
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTIN MARIE RUIZCredential: PA-C
Location Address1010 ROUTE 112 STE 300Port Jefferson Station, NY 11776-3386
Mailing Address2319 Mill RdRonkonkoma, NY 11779-1406 · (631) 848-6964
Phone(631) 364-9119
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 8, 2023
NPPES CertifiedJune 8, 2023
✔ NPI 1073207387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 029974
1010 ROUTE 112 STE 300, Port Jefferson Station, NY 11776
Open in Google Maps ↗

Secondary Practice Location 1

Location 16080 Jericho Tpke Ste 100Commack, NY 11725-2808 · Phone (631) 364-9119

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristin Marie Ruiz Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810429586
PECOS Enrollment IDI20241018002396
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUFFOLK BRAIN AND NERVE, PLLC
Psychiatry & Neurology (Neurology)
1010 ROUTE 112 STE 300
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 410-9420
DR. MARYANA LIEDKE DO
Psychiatry & Neurology (Neurology)
1010 ROUTE 112 STE 300
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 364-9119
MEDICAL SERVICES OF NEW HYDE PARK PC
Psychiatry & Neurology (Neurology)
1010 ROUTE 112 STE 300
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 886-4805
TRUE NORTH MEDICAL AT NORTH SUFFOLK PLLC
Psychiatry & Neurology (Neurology)
1010 ROUTE 112 STE 300
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 886-4985

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Ruiz's NPI number?

The NPI number for Kristin Ruiz is 1073207387. It was assigned to this individual provider in the NPPES registry on June 8, 2023.

Where is Kristin Ruiz located?

Kristin Ruiz practices at 1010 Route 112 Ste 300, Port Jefferson Station, NY 11776. The listed phone number is (631) 364-9119.

What is Kristin Ruiz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kristin Ruiz enrolled in Medicare?

Yes. Kristin Ruiz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kristin Ruiz affiliated with any hospitals?

According to CMS data, Kristin Ruiz is affiliated with John T Mather Memorial Hospital Of Port Jefferson, St Charles Hospital and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Kristin Ruiz was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.