Mordcai Blau, M.D., P.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

135936 Issued in NY

Practice address

12 Greenridge Ave
Suite 202
White Plains, NY 10605-1238

Phone

(914) 428-4700

Fax

(914) 428-6971

NPI assigned

Dec 29, 2006

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457417776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GREENRIDGE AVE",
            "address_2": "SUITE 202",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051238",
            "telephone_number": "914-428-4700",
            "fax_number": "914-428-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GREENRIDGE AVE",
            "address_2": "SUITE 202",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051238",
            "telephone_number": "914-428-4700",
            "fax_number": "914-428-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAU",
        "first_name": "MORDCAI",
        "name_prefix": "Dr.",
        "credential": "M.D., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "135936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charleen Blair
• Tamar Blanchard, PH.D.
• Oscar Blanco-Franco, MD
• Jennifer Ruiz Blandon, LCSW
• Danica Samantha Blas, PA-C
• Dimitrios Bliagos, M.D.
• Gita Blitshteyn, RPH
• Blitz Podiatry, PC
• Andrew P Bloch, LCSW-R
• Phoebe Hope Block

• Ambulatory Surgical Clinic/Center in White Plains, NY
• Providers in White Plains, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• 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.

Verify at the official NPI Registry.