Active NPI
Benjamin Blanco, CRNA
- Certified Registered Nurse Anesthetist
- Fountain Hill, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN679646
- Practice address
- 801 Ostrum St
Fountain Hill, PA 18015-1000 - Phone
- (484) 526-4000
- NPI assigned
- Dec 3, 2011
- Last updated
- Jun 1, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN679646 | PA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ00384300 | NJ |
Addresses
Primary practice location
801 Ostrum St
Fountain Hill, PA 18015-1000
Mailing address
14 Meadow LN
Old Bridge, NJ 08857-2563
Phone (732) 754-7733
Other practice location 1
1 RWJ Place
New Brunswick, NJ 08903
Phone (732) 828-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1736 Hamilton St
Allentown, PA 18104-5656
Phone 7067379250109
1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (866) 785-8537
250 S 21St St
Easton, PA 18042-3851
Phone (610) 250-4000
501 Cetronia Rd
Allentown, PA 18104-9569
Phone 7067379250109
521 Cetronia Rd
Allentown, PA 18104-9569
Phone (610) 954-5810
801 Ostrum St
Bethlehem, PA 18015-1065
Phone (610) 954-5810
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Anesthesia Physicians P.C. | Current | Accepting new patients | |
| St. Luke's Warren Physician Group, PC | Current | Accepting new patients | |
| Bethlehem Endoscopy Center LLC | Current | Accepting new patients | |
| St. Luke's Warren Physician Group, PC | Current | Accepting new patients | |
| Nazareth Endoscopy Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Luke's Warren Physician Group, PC | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| St Luke's Physician Group Inc | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| Anesthesia Specialists of Bethlehem, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611
279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201
1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300
24 S 18th St
Allentown, PA 18104
Phone (610) 628-8372
5325 Northgate Dr
Ste 101
Bethlehem, PA 18017
Phone (610) 866-5008
20 Community Dr
Easton, PA 18045
Phone (610) 258-1844
2401 Northampton St
Ste 220
Easton, PA 18045
Phone (610) 756-9900
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Bethlehem, PA
- NPI 1851349302
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Easton, PA
- NPI 1508400920
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Allentown, PA
- NPI 1275594830
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Hematology & Oncology Physician
- Phillipsburg, NJ
- NPI 1467725184
-
- Ambulatory Surgical Clinic/Center
- Bethlehem, PA
- NPI 1467691014
-
dba St. Luke's Primary Care Orwigsburg
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
dba St. Luke's Medical Associates of Monroe County - Specialists
- Cardiovascular Disease Physician
- East Stroudsburg, PA
- NPI 1770845612
-
- Critical Care Medicine (Internal Medicine) Physician
- Phillipsburg, NJ
- NPI 1326445123
-
dba St. Luke's Warren Ophthalmology
- Ophthalmology Physician
- Phillipsburg, NJ
- NPI 1568347201
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Luke's Hospital-Sacred Heart Campus
- General Acute Care Hospital
- Allentown, PA
- NPI 1366011413
-
dba St. Luke's Hospital - Anderson Campus
- General Acute Care Hospital
- Easton, PA
- NPI 1376339226
-
dba St. Luke's Hospital-Lehighton Campus
- General Acute Care Hospital
- Lehighton, PA
- NPI 1528737988
-
- General Acute Care Hospital
- Bethlehem, PA
- NPI 1013933175
-
dba St. Luke's Hospital - Allentown Campus
- General Acute Care Hospital
- Allentown, PA
- NPI 1548293954
-
dba St. Luke's Partial Hospitalization Program
- Adult Mental Health Clinic/Center
- Lehighton, PA
- NPI 1962094920
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590969600000",
"number": "1255609376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 MEADOW LN",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572563",
"telephone_number": "732-754-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 OSTRUM ST",
"city": "FOUNTAIN HILL",
"state": "PA",
"postal_code": "180151000",
"telephone_number": "484-526-4000"
}
],
"practiceLocations": [
{
"address_1": "1 RWJ Place",
"address_purpose": "LOCATION",
"city": "New Brunswick",
"state": "NJ",
"postal_code": "08903",
"country_code": "US",
"telephone_number": "732-828-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANCO",
"first_name": "BENJAMIN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-03",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN679646",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ00384300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.