Active NPI
Zoraida Blas, PA
- Physician Assistant
- New York, NY
National Provider Identifier
1053694711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004105-1
- Practice address
- 245 E 93Rd St
Apt 31E
New York, NY 10128-3966 - Phone
- (917) 538-1392
- NPI assigned
- Sep 20, 2011
- Last updated
- Sep 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004105-1 | NY | Primary |
Addresses
Primary practice location
245 E 93Rd St
Apt 31E
New York, NY 10128-3966
Mailing address
245 E 93Rd St
Apt 31E
New York, NY 10128-3966
Phone (917) 538-1392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004105-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1053694711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 E 93RD ST",
"address_2": "APT 31E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101283966",
"telephone_number": "917-538-1392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 E 93RD ST",
"address_2": "APT 31E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101283966",
"telephone_number": "917-538-1392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAS",
"first_name": "ZORAIDA",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-20",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "004105-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.