Active NPI
Emily Blanton
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- 28849401
- 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, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28849401 | NY | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maiden Lane Medical, PLLC | Current | Accepting new patients | |
| Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC | Past | 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
- eblanton67268@northwell.direct-ci.com
- emb9051@direct.nyp.org
- 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.
-
- Gynecology Physician
- New York, NY
- NPI 1497291074
-
- Gynecology Physician
- New York, NY
- NPI 1710022140
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.