Individual provider Active NPI

Matthew Blando, MD

  • Family Medicine Physician
  • New Hartford, NY
National Provider Identifier
1467848424
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
296057 Issued in NY
Practice address
2 Ellinwood Dr
New Hartford, NY 13413-1102
Phone
(315) 507-5081
Fax
(315) 738-1663
NPI assigned
Apr 7, 2015
Last updated
Jun 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 296057 NY Primary

Addresses

Primary practice location

2 Ellinwood Dr
New Hartford, NY 13413-1102

Mailing address

2209 Genesee St.
Business Office
Utica, NY 13501-5930
Phone (315) 801-4238

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
I20181005001211 NY Practitioner - Family Practice 8527310333 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
296057NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nys Medical Associate PLLC CurrentSince Dec 1, 2022 Accepting new patients
New York Medical Physician Associates PC CurrentSince Oct 1, 2025 Accepting new patients
New York Medical Physician Associates PC Current Accepting new patients
New York Medical Physician Associates PC CurrentSince Oct 1, 2025 Accepting new patients
Timothy Turbett MD PC Family Medicine CurrentSince Dec 2, 2022 Accepting new patients
Mikram Jafri MD PC CurrentSince Jul 1, 2024 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

325 Northern Blvd
Albany, NY 12204
Phone (518) 328-3605

15 Saint Pauls Pl
Great Neck Plaza, NY 11021
Phone (516) 466-3001

300 Community Dr
Manhasset, NY 11030

59 Hetcheltown Rd
Scotia, NY 12302
Phone (518) 384-3600

100 New Turnpike Rd
Troy, NY 12182
Phone (518) 235-1410

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

15715 19th Ave
Whitestone, NY 11357
Phone (718) 559-0580

338 Harris Hill Rd
Ste 207
Williamsville, NY 14221

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1467848424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 GENESEE ST.",
            "address_2": "BUSINESS OFFICE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015930",
            "telephone_number": "315-801-4238",
            "fax_number": "315-801-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ELLINWOOD DR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131102",
            "telephone_number": "315-507-5081",
            "fax_number": "315-738-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANDO",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "296057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.