Active NPI
Keith Michael Blechman, M.D.
- Plastic Surgery Physician
- New York, NY
National Provider Identifier
1386834828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 251389
- Practice address
- 800A 5TH Ave Ste 300a
New York, NY 10065-7215 - Phone
- (212) 427-3982
- Fax
- (212) 452-4654
- NPI assigned
- Jul 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 251389 | NY | Primary |
Addresses
Primary practice location
800A 5TH Ave Ste 300a
New York, NY 10065-7215
Mailing address
800A 5TH Ave Ste 300a
New York, NY 10065-7215
Phone (212) 427-3982
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8DH138 | Other | TX | BCBS (MDACC) |
| 300281801 (MDACC) | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 31, 2023 through May 31, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breast Reconstruction Center of New Jersey | Plastic Surgery | Current | Accepting new patients |
Locations
800A 5th Ave
Ste 300A
New York, NY 10065
Phone (212) 427-3982
Interoperability endpoints
- kblechman67936@northwell.direct-ci.com
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 and National Provider Directory roles.
-
- Plastic Surgery Physician
- New York, NY
- NPI 1477080760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1386834828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800A 5TH AVE STE 300A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657215",
"telephone_number": "212-427-3982",
"fax_number": "212-452-4654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800A 5TH AVE STE 300A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657215",
"telephone_number": "212-427-3982",
"fax_number": "212-452-4654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLECHMAN",
"first_name": "KEITH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-31",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "251389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS (MDACC)",
"identifier": "8DH138",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300281801 (MDACC)",
"state": "TX"
}
],
"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 Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.