Deborah Ruiz Blenk, MD; LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

112673-01 Issued in NY

Practice address

2255 Centre Ave
Bellmore, NY 11710-3499

Phone

(212) 375-8606

NPI assigned

Dec 4, 2006

Last updated

Jun 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1063580256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 DIVISION AVE STE 215E",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117562947",
            "telephone_number": "917-881-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 CENTRE AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103499",
            "telephone_number": "212-375-8606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 Division Ave Ste 215E",
            "address_purpose": "LOCATION",
            "city": "Levittown",
            "state": "NY",
            "postal_code": "117562947",
            "country_code": "US",
            "telephone_number": "212-375-8606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLENK",
        "first_name": "DEBORAH",
        "middle_name": "RUIZ",
        "name_prefix": "Dr.",
        "credential": "MD; LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "112673-01",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "153529",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "153529",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00832320",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Bernstein
• Teresa M Bertozzi
• Alanna Bethon, BCBA, LBA
• Ramoi Biggs-Francis
• Karen Blane, M.S., C.C.C.-SLP
• Deborah Faith Blitz, OTR
• Jessicia Bloch
• Board of Fire Commissioners Bellmore Fire District
• Stefni Bogard, N.P.
• Lauren E Bonilla, MS, OTR/L

• Social Worker in Bellmore, NY
• Providers in Bellmore, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.