Jacqueline Blank, D.O.
Individual provider Active NPI Obstetrics Physician · Basking Ridge, NJ
NPI 1477524213 · NPPES record last updated Dec 3, 2013
Key facts
- NPI
- 1477524213
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics Physician 207VX0000X
- License
- 25MB07936100 (NJ)
- Practice address
- 150 N Finley Ave
Basking Ridge, NJ 07920-1686 - Phone
- (908) 340-4609
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zufall Health Center,Inc | Past | Accepting new patients | |
| Practice Associates,Inc | Past | Accepting new patients |
Interoperability endpoints
- jacqueline.blank@zhc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 25MB07936100 | NJ | Yes |
Addresses
Primary practice location
150 N Finley Ave
Basking Ridge, NJ 07920-1686
Mailing address
150 N Finley Ave
Basking Ridge, NJ 07920-1686
Phone (908) 340-4609
Other providers in Basking Ridge, NJ
- Bethel Ridge Corporation
- Big Luke LLC
- Joseph John Biland
- Mona Weller Birk
- Kristin Troutman Blackledge
- Peter B Blank
- Michael Bohrer
- Bonnie Brae
- Bonnie Brae
- Bonnie Brae
All providers in Basking Ridge, NJ · Obstetrics Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.