Andrew Cecil Blake Jr., MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

C1-0028930 Issued in DE

Practice address

115 Cass Ave
Woonsocket, RI 02895-4731

Phone

(401) 769-4100

NPI assigned

Apr 9, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Emergency Medicine

Education

Jefferson Medical College of Thomas Jefferson University, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Associates of Woonsocket LLC 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Landmark Medical Center Hospital, Woonsocket, RI, CCN 410011

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Associates of Woonsocket LLC

  • Emergency Medicine Physician
  • Woonsocket, RI
  • NPI 1912342528
  Care Compare group

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

• Prime Healthcare Services Landmark LLC

  • General Acute Care Hospital
  • Woonsocket, RI
  • NPI 1699752923

  Hospital

  Care Compare affiliation
• Prime Healthcare Services-Landmark LLC

  • Psychiatric Hospital Unit
  • Woonsocket, RI
  • NPI 1396722666

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1356083497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E WYNNEWOOD RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190961547",
            "telephone_number": "302-632-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CASS AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954731",
            "telephone_number": "401-769-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "ANDREW",
        "middle_name": "CECIL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-09",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DE",
            "license": "C1-0028930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blackstone Valley Center for Internal Medicine, Inc
• Blackstone Valley Center for Internal Medicine,Inc.
• Blackstone Valley Eye Care, P.C.
• Blackstone Valley Optometry PC
• Abigail Blais, PA
• Leslie Arleen Bluett, RN
• Megan Boateng
• Linda Carole Boden, OTR/L
• Judy H Bolzani, CDP
• Cynthia Marie Bonaldi, RN

• All providers in Woonsocket, RI
• Emergency Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.

Verify at the official NPI Registry.