Individual provider Active NPI

Tomas Blanco, M.D.

  • Anesthesiology Physician
  • Yorktown Heights, NY
National Provider Identifier
1154522811
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
163953 Issued in NY
Practice address
130F Columbia CT
Yorktown Heights, NY 10598-6916
Phone
(914) 806-8215
NPI assigned
May 30, 2007
Last updated
Jan 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 163953 NY Primary

Addresses

Primary practice location

130F Columbia CT
Yorktown Heights, NY 10598-6916

Mailing address

130F Columbia CT
Yorktown Heights, NY 10598-6916
Phone (914) 806-8215

Other practice location 1

79 Park View Rd S
Pound Ridge, NY 10576-1211
Phone (914) 514-8156

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
163953NYMDAnesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1154522811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130F COLUMBIA CT",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105986916",
            "telephone_number": "914-806-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130F COLUMBIA CT",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105986916",
            "telephone_number": "914-806-8215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Park View Rd S",
            "address_purpose": "LOCATION",
            "city": "Pound Ridge",
            "state": "NY",
            "postal_code": "105761211",
            "country_code": "US",
            "telephone_number": "914-514-8156",
            "fax_number": "917-463-3908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "TOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "163953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.