NPIMap

Individual provider Active NPI

William Blau, MD

  • Cardiovascular Disease Physician
  • Great Neck, NY
National Provider Identifier
1326084757
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
171316 Issued in NY
Practice address
310 E Shore Rd
Suite 104
Great Neck, NY 11023-2432
Phone
(516) 829-9550
Fax
(516) 829-9718
NPI assigned
Jun 22, 2006
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 171316 NY Primary

Addresses

Primary practice location

310 E Shore Rd
Suite 104
Great Neck, NY 11023-2432

Mailing address

310 E Shore Rd
Suite 104
Great Neck, NY 11023-2432
Phone (516) 829-9550

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wblau43625@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100823000831 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear MedicinePractitioner - Internal Medicine 3173657459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine
Education
State University of Ny Upstate Medical University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
171316NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Cardiovascular Disease CurrentSince Apr 1, 2012 Accepting new patients
New York University Cardiovascular Disease CurrentSince Apr 1, 2012 Accepting new patients
Psychology Care PC Past Accepting new patients

Locations

310 E Shore Rd
Ste 104
Great Neck, NY 11023
Phone (516) 829-9550

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: wblau43625@nyumc.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1326084757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E SHORE RD",
            "address_2": "SUITE 104",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232432",
            "telephone_number": "516-829-9550",
            "fax_number": "516-829-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E SHORE RD",
            "address_2": "SUITE 104",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232432",
            "telephone_number": "516-829-9550",
            "fax_number": "516-829-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAU",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "171316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wblau43625@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "1999 Marcus Ave Ste 220",
            "city": "New Hyde Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110421021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.