Individual provider Active NPI

Emily Blanton

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • New York, NY
National Provider Identifier
1346530151
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
28849401 Issued in NY
Practice address
90 Maiden LN FL 3
New York, NY 10038-4831
Phone
(646) 290-9560
NPI assigned
Apr 13, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 28849401 NY Primary
Obstetrics & Gynecology Physician 207V00000X ME122598 FL

Addresses

Primary practice location

90 Maiden LN FL 3
New York, NY 10038-4831

Mailing address

90 Maiden LN FL 3
New York, NY 10038-4831
Phone (646) 290-9560

Other practice location 1

2415 N Orange Ave Ste 300
Orlando, FL 32804-5505
Phone (407) 303-2780

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180801002606 NY Practitioner - Obstetrics/Gynecology 3577863299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York Downstate Medical Center, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maiden Lane Medical PLLCGroup PAC ID 2365728698, 19 clinicians

Practice addresses (Care Compare)

90 Maiden LN
FL 3
New York, NY 10038-4831
Phone (646) 290-9560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28849401NYMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maiden Lane Medical, PLLC CurrentSince Jun 16, 2018 Accepting new patients
Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC PastSince Jun 16, 2018 Accepting new patients

Locations

503 5th Ave
Ste 2
Brooklyn, NY 11215

7206 Narrows Ave
Ste 404
Brooklyn, NY 11209

110 E 60th St
Rm 903
New York, NY 10022
Phone (649) 290-9560

18 E 41st St
Fl 1
New York, NY 10017
Phone (212) 683-0041

415 W Broadway
Fl 5
New York, NY 10012
Phone (646) 290-9560

90 Maiden Ln
Fl 3
New York, NY 10038
Phone (646) 290-9560

90 Maiden Ln
Rm 300
New York, NY 10038
Phone (646) 240-4560

Interoperability endpoints

  • Direct secure messaging: eblanton67268@northwell.direct-ci.com
  • Direct secure messaging: emb9051@direct.nyp.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEDBDA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346530151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MAIDEN LN FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384831",
            "telephone_number": "646-290-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAIDEN LN FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384831",
            "telephone_number": "646-290-9560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2415 N Orange Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328045505",
            "country_code": "US",
            "telephone_number": "407-303-2780",
            "fax_number": "407-303-2763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NY",
            "license": "28849401",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME122598",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.