JESSICA L. BLYDENBURGH D.O. – NPI #1144548918
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

JESSICA BLYDENBURGH is a physician located in PORT JEFFERSON, NY. NPPES has assigned the NPI number 1144548918 to JESSICA BLYDENBURGH on May 04, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 13 years ago on Aug 14, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JESSICA BLYDENBURGH below.

NPI Profile for
JESSICA L. BLYDENBURGH

NPI Number
1144548918
Enumeration Date

(more than 16 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JESSICA L. BLYDENBURGH
Credentials
D.O.
Primary location
125 OAKLAND AVE
PORT JEFFERSON, NY 11777-2130
Phone: (631) 736-1311 Fax: (631) 736-1312
Mailing address
211 CASSA LOOP
HOLTSVILLE, NY 11742-2610
Phone: (631) 786-4360 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 NY 270049

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JESSICA BLYDENBURGH is affiliated with the following medical group(s):
  • HOSPITAL
    • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON
      75 NORTH COUNTRY ROAD
      PORT JEFFERSON, NY 11777
    • NORTH SHORE UNIVERSITY HOSPITAL
      300 COMMUNITY DRIVE
      MANHASSET, NY 11030
    • ST CHARLES HOSPITAL
      200 BELLE TERRE ROAD
      PORT JEFFERSON, NY 11777
    • SUNY/STONY BROOK UNIVERSITY HOSPITAL
      HEALTH SCIENCES CENTER SUNY
      STONY BROOK, NY 11794
  • HOME HEALTH AGENCY
    • CATHOLIC HOME CARE
      110 BI-COUNTY BOULEVARD, SUITE 114
      FARMINGDALE, NY 11735
    • KINDRED AT HOME (HAUPPAUGE)
      888 VETERANS MEMORIAL HIGHWAY SUITE 210
      HAUPPAUGE, NY 11788
    • PECONIC BAY HOMEHEALTH SERVICES
      1300 ROANOKE AVENUE
      RIVERHEAD, NY 11901
    • TENDER LOVING CARE, AN AMEDISYS COMPANY
      3237 ROUTE 112, BUILDING 6
      MEDFORD, NY 11763

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