Individual provider Active NPI

Zachary Jones Blouin, DDS

  • Pediatric Dentistry
  • Woodhaven, NY
National Provider Identifier
1073254884
Registry record updated Aug 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
063668 Issued in NY
Practice address
9831 Jamaica Ave
Woodhaven, NY 11421-2213
Phone
(347) 494-1179
NPI assigned
Apr 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 063668 NY Primary

Addresses

Primary practice location

9831 Jamaica Ave
Woodhaven, NY 11421-2213

Mailing address

2649 Wilson Ave
Bellmore, NY 11710-3440
Phone (973) 626-6920

Other practice location 1

795 Flushing Ave
Brooklyn, NY 11206-4107
Phone (718) 963-9500

Other practice location 2

291 Knickerbocker Ave
Brooklyn, NY 11237-3103
Phone (347) 663-4141

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227000328 NY Practitioner - Dentist 6608226147 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Health Center, Inc. CurrentSince Nov 30, 2023 Accepting new patients

Locations

2021 Grand Concourse
Bronx, NY 10453
Phone (718) 299-2800

260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236

Interoperability endpoints

  • Direct secure messaging: zachary.jones.1@18107.direct.athenahealth.com

Organizations & group practices 1

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787443200000",
    "number": "1073254884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 WILSON AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103440",
            "telephone_number": "973-626-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9831 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212213",
            "telephone_number": "347-494-1179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 Flushing Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112064107",
            "country_code": "US",
            "telephone_number": "718-963-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "291 Knickerbocker Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112373103",
            "country_code": "US",
            "telephone_number": "347-663-4141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOUIN",
        "first_name": "ZACHARY",
        "middle_name": "JONES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-08-23",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "063668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

Verify at the official NPI Registry.