Blanca Patricia Carballido

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

533381 Issued in NY

Practice address

932 Americus Ave
East Patchogue, NY 11772-5019

Phone

(631) 803-2895

Fax

(631) 803-2895

NPI assigned

Jun 2, 2009

Last updated

Jun 2, 2009By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1194951376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 AMERICUS AVE",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725019",
            "telephone_number": "631-803-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 AMERICUS AVE",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725019",
            "telephone_number": "631-803-2895",
            "fax_number": "631-803-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBALLIDO",
        "first_name": "BLANCA",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "533381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan E Byrne
• Rachel Campitiello, OT
• Darek A. Candelore, PT, DPT
• Robert Capizzi, M.D.
• Christine Anne Capurso, L.A.C., DC
• Zachary Cassetta
• Chidambaranathan Chandrasekaran, M.D.
• Joel Myladoor Chandy, D.O.
• Pierre Wisly Charles, COTA
• Robert M Chernaik, MD

• Registered Nurse in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.