Active NPI
Carlita Andrea Blanco, CR
- Community/Behavioral Health Agency
- New, NY
National Provider Identifier
1336834134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 1460 Broadway
New, NY 10018 - Phone
- (646) 504-3291
- NPI assigned
- Apr 7, 2023
- Last updated
- Aug 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Drama Therapist | 101200000X | |||
| Assistant Behavior Analyst | 106E00000X | 000856816 | DC | |
| Home Modifications Contractor | 171WH0202X | |||
| Research Study Specialist | 1744R1102X | |||
| Research Study Specialist | 1744R1102X | 000856816 | DC | |
| Research Study Specialist | 1744R1102X | 757397735 | NY | |
| Recreation Therapist | 225800000X | |||
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Home Delivered Meals | 332U00000X | |||
| Adult Companion | 372600000X | |||
| Homemaker | 376J00000X | |||
| Prevention Professional | 405300000X | 547-897-1287 | GU | |
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1460 Broadway
New, NY 10018
Mailing address
228 E 135TH St
Bronx, NY 10451-6433
Phone (646) 504-3291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000856816 | DC | MD | Research Study Specialist |
| 757397735 | NY | MD | Research Study Specialist |
| 547-897-1287 | GU | MD | Prevention Professional |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amazing Great Beauty of Science | Research Study | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Research Study Specialist
- Bronx, NY
- NPI 1518731157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755388800000",
"number": "1336834134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 E 135TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104516433",
"telephone_number": "646-504-3291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 BROADWAY",
"city": "NEW",
"state": "NY",
"postal_code": "10018",
"telephone_number": "646-504-3291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCO",
"first_name": "CARLITA",
"middle_name": "ANDREA",
"credential": "CR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-07",
"last_updated": "2025-08-17",
"certification_date": "2025-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101200000X",
"taxonomy_group": "",
"desc": "Drama Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": "DC",
"license": "000856816",
"primary": false
},
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": false
},
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": null,
"license": null,
"primary": false
},
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": "DC",
"license": "000856816",
"primary": false
},
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": "NY",
"license": "757397735",
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": "GU",
"license": "547-897-1287",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.