Active NPI
Veronica Blamasah, MHS, PA-C
- Medical Physician Assistant
- Philadelphia, PA
National Provider Identifier
1427139922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA-051602
- Practice address
- 3400 Spruce Street, 2 Dulles
Philadelphia, PA 19104 - Phone
- (215) 746-6498
- Fax
- (215) 615-1602
- NPI assigned
- Oct 18, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA-051602 | PA | Primary |
Addresses
Primary practice location
3400 Spruce Street, 2 Dulles
Philadelphia, PA 19104
Mailing address
717 Station Ave Apt D34
Bensalem, PA 19020-7153
Phone (215) 244-6353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA051602 | Other | PA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10318 | MN | MD | Physical Therapist |
| MA-051602 | PA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427139922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 STATION AVE APT D34",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190207153",
"telephone_number": "215-244-6353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE STREET, 2 DULLES",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-746-6498",
"fax_number": "215-615-1602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAMASAH",
"first_name": "VERONICA",
"name_prefix": "Ms.",
"credential": "MHS, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA-051602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "MA051602",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.