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KRISTEN DISMORE PA
NPI 1326654120
Surgery in Port Jefferson, NY

Active since September 17, 2020
625 BELLE TERRE RD STE 202, PORT JEFFERSON, NY 11777(631) 686-7990 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristen Dismore Pa NPPES

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

KRISTEN DISMORE PA (NPI 1326654120) is an individual surgery provider in Port Jefferson, New York, licensed in New York (025086) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1326654120
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameKRISTEN DISMORECredential: PA
Location Address625 BELLE TERRE RD STE 202Port Jefferson, NY 11777-2318
Mailing Address4 Hazelwood Ave Apt 1Westhampton Beach, NY 11978-1405 · (631) 445-1147
Phone(631) 686-7990
Sole ProprietorNo
Enumeration DateSeptember 17, 2020
NPPES CertifiedSeptember 17, 2020
✔ NPI 1326654120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 025086
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
625 BELLE TERRE RD STE 202, Port Jefferson, NY 11777
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Other Providers at the Same Location NPPES 2

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

AIMEE LORRAINE O'CONNELL
Social Worker
625 BELLE TERRE RD STE 202
PORT JEFFERSON, NY 11777
Suffolk County (631) 689-0220
NEW YORK ROBOTIC AND LAPAROSCOPIC SURGERY PC
Surgery
625 BELLE TERRE RD STE 202
PORT JEFFERSON, NY 11777
Suffolk County (631) 689-0220

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 Kristen Dismore's NPI number?

The NPI number for Kristen Dismore is 1326654120. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Where is Kristen Dismore located?

Kristen Dismore practices at 625 Belle Terre Rd Ste 202, Port Jefferson, NY 11777. The listed phone number is (631) 686-7990.

What is Kristen Dismore's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Kristen Dismore was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.