Individual provider Active NPI

Kristen Jonelle Delaney, RPA-C

  • Medical Physician Assistant
  • Ronkonkoma, NY
National Provider Identifier
1932220746
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
010289 Issued in NY
Practice address
3505 Veterans Memorial Hwy Ste C
Ronkonkoma, NY 11779-7613
Phone
(631) 676-7656
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 010289 NY Primary

Addresses

Primary practice location

3505 Veterans Memorial Hwy Ste C
Ronkonkoma, NY 11779-7613

Mailing address

35 Longwood Rd
Middle Island, NY 11953-2045
Phone (516) 721-2879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180830001056 NY Practitioner - Physician Assistant 7315297041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
23.05 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
76.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010289NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Medical Services PLLC CurrentSince Dec 1, 2025 Accepting new patients
University Hospital at Stony Brook Current Accepting new patients

Locations

3505 Veterans Memorial Hwy
Ste C
Ronkonkoma, NY 11779
Phone (631) 676-7556

Interoperability endpoints

  • Direct secure messaging: kristen.delaney1@direct.stonybrookmedicine.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1932220746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LONGWOOD RD",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532045",
            "telephone_number": "516-721-2879",
            "fax_number": "631-924-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 VETERANS MEMORIAL HWY STE C",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797613",
            "telephone_number": "631-676-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "KRISTEN",
        "middle_name": "JONELLE",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "010289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

Verify at the official NPI Registry.