Elena Blanco, P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00266200 Issued in NJ

Legal business name

ELENA BLANCO, P.C.

Practice address

125 Prospect Ave
Hackensack, NJ 07601-2233

Phone

(201) 488-7577

Fax

(201) 488-1807

NPI assigned

Aug 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elena Blanco, D.P.M.NPI 1093880478

Title

Owner/Doctor

Phone

(201) 488-7577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elena Blanco, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hackensack, NJ
  • NPI 1093880478
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1245423060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012233",
            "telephone_number": "201-488-7577",
            "fax_number": "201-488-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012233",
            "telephone_number": "201-488-7577",
            "fax_number": "201-488-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA BLANCO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "201-488-7577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00266200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noha El Torgoman, MD
• Hesham I El-Hariry, M.D.
• Mohamed M. Elagami, MD
• Electrophysiology Associates of Northern New Jersey PA PC
• Abdelrahman Elemam
• Eleon Healthcare Inc.
• Mohamed Elgendy, MBBCH
• Mohamed Elhakeem
• Samantha Elia, DNP, RN, ANP-C, OCN
• Elite Care Ambulance Inc

• Foot & Ankle Surgery Podiatrist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.