Individual provider Active NPI

Nancy Blace, M.D.PH.D.

  • Ophthalmology Physician
  • Bronx, NY
National Provider Identifier
1396948964
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
244436 Issued in NY
Practice address
1650 Grand Concourse
Bronx, NY 10457-7606
Phone
(718) 901-8918
Fax
(718) 313-0194
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuro-ophthalmology Physician 207WX0109X 0244436 NY
Ophthalmology Physician 207W00000X 244436 NY Primary

Addresses

Primary practice location

1650 Grand Concourse
Bronx, NY 10457-7606

Mailing address

PO Box 570169
Whitestone, NY 11357-0169
Phone (646) 361-4610

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
I20091008000511 NY Practitioner - Ophthalmology 0042356867 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0244436NYMDNeuro-ophthalmology Physician

Practice roles (10 of 14)

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 1, 2022 Accepting new patients
New York University CurrentSince Sep 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 11, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jun 11, 2020 Accepting new patients
Bronxcare Health System Current Accepting new patients
Bronxcare Health System CurrentSince Feb 20, 2011 Accepting new patients
Bronxcare Health System Ophthalmology CurrentSince Feb 20, 2011 Accepting new patients
American Comprehensive Healthcare Medical Group PC PastSince Nov 1, 2014 Accepting new patients
Medalliance Medical Health Services Inc PastSince Sep 21, 2009 Accepting new patients
Nancy Blace, M.D. P.C. Ophthalmology Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1276 Fulton Ave
Rm 208
Bronx, NY 10456
Phone (718) 901-8918

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000

222 E 41st St
Fl 3
New York, NY 10017
Phone (212) 263-2573

10114 Liberty Ave
Ozone Park, NY 11417
Phone (718) 487-3330

Networks

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

Interoperability endpoints

  • Direct secure messaging: nblace838865@nychhc.direct-ci.com
  • Direct secure messaging: nblace518946@nyumc.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1396948964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570169",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113570169",
            "telephone_number": "646-361-4610",
            "fax_number": "718-313-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577606",
            "telephone_number": "718-901-8918",
            "fax_number": "718-313-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACE",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "M.D.PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "NY",
            "license": "0244436",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "244436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.