Active NPI
Eileen M Blanco
- Specialist
- New York, NY
National Provider Identifier
1194087668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 163 E 99TH St
Apt 14
New York, NY 10029-6714 - Phone
- (732) 882-2669
- NPI assigned
- Jun 11, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
163 E 99TH St
Apt 14
New York, NY 10029-6714
Mailing address
163 E 99TH St
Apt 14
New York, NY 10029-6714
Phone (732) 882-2669
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1194087668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 E 99TH ST",
"address_2": "APT 14",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296714",
"telephone_number": "732-882-2669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 E 99TH ST",
"address_2": "APT 14",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296714",
"telephone_number": "732-882-2669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCO",
"first_name": "EILEEN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-11",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"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 Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.