Individual provider Active NPI

Fiona Rose Pasternack Blanco, M.D.

  • Specialist
  • Douglaston, NY
National Provider Identifier
1194768002
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
228898 Issued in NY
Practice address
6040 Marathon Pkwy
Douglaston, NY 11362-2041
Phone
(718) 631-3778
Fax
(718) 281-2055
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 228898 NY Primary

Addresses

Primary practice location

6040 Marathon Pkwy
Douglaston, NY 11362-2041

Mailing address

6040 Marathon Pkwy
Douglaston, NY 11362-2041
Phone (718) 631-3778

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060630000023 NY Practitioner - Dermatology 9335151729 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
228898NYMDSpecialist

Practice roles (1 of 5)

OrganizationSpecialtyStatusNew patients
Yasemin Osman MD PLLC Specialist CurrentSince Jun 1, 2006 Accepting new patients

Locations

6040 Marathon Pkwy
Little Neck, NY 11362
Phone (718) 392-4500

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: fip9001@direct.nyp.org

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.

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yasemin Osman MD PLLC 2 clinicians

Practice addresses (Care Compare)

6040 Marathon Pkwy
Douglaston, NY 11362-2041
Phone (718) 631-3778

Merit-based Incentive Payment System (MIPS)

Final score
98.52 of 100Reported as group
Quality
97.05
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of tissue1-10
Removal of skin lesions581
Skin biopsy487

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194768002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 MARATHON PKWY",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113622041",
            "telephone_number": "718-631-3778",
            "fax_number": "718-281-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 MARATHON PKWY",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113622041",
            "telephone_number": "718-631-3778",
            "fax_number": "718-281-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "FIONA",
        "middle_name": "ROSE PASTERNACK",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "228898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglaston, NY

Sources for this page

Verify at the official NPI Registry.