Jessica L Blydenburgh (NPI# 1144548918, PAC ID# 2961631403) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1144548918 |
| PAC ID by PECOS | 2961631403 |
| Professional Enrollment ID | I20140204000799 |
| Full Name | Jessica L Blydenburgh |
| Organization Legal Name | HARBOR VIEW MEDICAL SERVICES PC |
| Address |
70 N Country Rd Port Jefferson NY 11777-2161 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5092865873 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330185 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| 330246 | ST CHARLES HOSPITAL |
| 330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 70 N Country Rd, Port Jefferson, NY 11777-2161 | HARBOR VIEW MEDICAL SERVICES PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 94% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% |
| Organization Legal Name | HARBOR VIEW MEDICAL SERVICES PC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara Kvilekval | Vascular Surgery | Harbor View Medical Services PC | 4 Technology Dr, Suite 120, East Setauket, NY 11733-4068 |
| Rohan G Perera | Cardiovascular Disease (cardiology) | Harbor View Medical Services PC | 210 N Belle Mead Ave, East Setauket, NY 11733-3522 |
| Francis R Sicari | Physician Assistant | Harbor View Medical Services PC | 75 N Country Rd, Port Jefferson, NY 11777-2119 |
| Seemab Nazar Malik | Internal Medicine | Harbor View Medical Services PC | 125 Oakland Ave, Suite 204, Port Jefferson, NY 11777-2130 |
| Charles G Bleecher | Internal Medicine | Harbor View Medical Services PC | 125 Oakland Ave, Suite 204, Port Jefferson, NY 11777-2130 |
| Deborah A Kacherski | Nurse Practitioner | Harbor View Medical Services PC | 125 Oakland Ave, Suite 204, Port Jefferson, NY 11777-2130 |
| Robert C Giacobbe | Internal Medicine | Harbor View Medical Services PC | 75 N Country Rd, Port Jefferson, NY 11777-2119 |
| Deborah D Adkins | Nurse Practitioner | Harbor View Medical Services PC | 70 N Country Rd, Suite 101, Port Jefferson, NY 11777-2161 |
| Anita N Biswas | Nurse Practitioner | Harbor View Medical Services PC | 745 Route 25a, Suite A, Rocky Point, NY 11778-6603 |
| David M Schwartzberg | General Surgery | Harbor View Medical Services PC | 75 N Country Rd, Port Jefferson, NY 11777-2119 |
| Street Address |
70 N COUNTRY RD |
| City | PORT JEFFERSON |
| State | NY |
| Zip | 11777-2161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle M Craddock | Nurse Practitioner | North Shore-lij Medical PC | 70 N Country Rd, Port Jefferson, NY 11777-2161 |
| Rhonda S Burmeister | Family Medicine | North Shore-lij Medical PC | 70 N Country Rd, Port Jefferson, NY 11777-2161 |
| Frank P Lunati Jr. | General Surgery | 70 N Country Rd, Suite 201, Port Jefferson, NY 11777-2161 | |
| Deborah D Adkins | Nurse Practitioner | Harbor View Medical Services PC | 70 N Country Rd, Suite 101, Port Jefferson, NY 11777-2161 |
| Kristen A Klein | Nurse Practitioner | Long Island Physician Associates Pllc | 70 N Country Rd, Suite 203, Port Jefferson, NY 11777-2161 |
| Cynthia S Cichanowicz | Nurse Practitioner | Long Island Physician Associates Pllc | 70 N Country Rd, Suite 203, Port Jefferson, NY 11777-2161 |
| Staci Clabough | Nurse Practitioner | Long Island Physician Associates Pllc | 70 N Country Rd, Suite 203, Port Jefferson, NY 11777-2161 |
| Ali S Karakurum | Gastroenterology | Advanced Gastroenterology and Endoscopy PC | 70 N Country Rd, Suite 201, Port Jefferson, NY 11777-2161 |
| Samuel P Brown | Pain Management | Long Island Physician Associates Pllc | 70 N Country Rd, Suite 203, Port Jefferson, NY 11777-2161 |
| Robert Iadevaio | Pain Management | Long Island Physician Associates Pllc | 70 N Country Rd, Suite 203, Port Jefferson, NY 11777-2161 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea S Coladner | Physical Medicine and Rehabilitation | 6 Cove Ln, Port Jefferson, NY 11777-1103 | |
| Toni Derman | Clinical Social Worker | 33 Landing Lane, Port Jefferson, NY 11777-1106 | |
| Gabrielle Lofaso | Psychologist, Clinical | 20 Crooked Oak Rd, Port Jefferson, NY 11777-1120 | |
| Ronald Fein | Clinical Social Worker | 19 Waterview Dr, Port Jefferson, NY 11777-1169 | |
| Constance E Schoenberg | Psychologist, Clinical | 201 E Broadway, Port Jefferson, NY 11777-1248 | |
| Marguerite F Metzendorf | Clinical Social Worker | 14 E Broadway, Port Jefferson, NY 11777-1400 | |
| Dorothy M Lilly | Clinical Social Worker | 14 E Broadway, Suite 3, Port Jefferson, NY 11777-1400 | |
| Guy Anthony Koutouvidis | Clinical Social Worker | 14 E Broadway, Suite 2, Port Jefferson, NY 11777-1400 | |
| Sharon Lyn Zariello | Clinical Social Worker | 14 E Broadway, Port Jefferson, NY 11777-1400 | |
| Susan Prechtl-loper | Physical Therapy | 117 Oakwood Rd, Port Jefferson, NY 11777-1422 | |
| Find all physicians in zip 11777 | |||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PORT JEFFERSON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jessica L Blydenburgh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.