Mercedes M Blanche, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

248388 Issued in NY

Practice address

290 Broadway Ste 4
Newburgh, NY 12550-5448

Phone

(845) 764-4999

Fax

(845) 224-3979

NPI assigned

Jun 16, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mercedes M Blanche Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: blanchem@hiemail.healtheconnections.org
• Direct secure messaging: mb_pediatrics@hiemail.healtheconnections.org
• FHIR API: https://fhir4.healow.com/fhir/r4/HIJGAD/Endpoint/HIJGAD

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1396905055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2955",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126038955",
            "telephone_number": "845-452-2786",
            "fax_number": "845-224-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BROADWAY STE 4",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505448",
            "telephone_number": "845-764-4999",
            "fax_number": "845-224-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHE",
        "first_name": "MERCEDES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "248388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERCEDES",
            "last_name": "BLANCHE",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Pediatrics Physician in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.