Stephanie Gloria Blenner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1010 Sunrise Hwy
Rockville Centre, NY 11570-5100

Phone

(516) 678-0500

NPI assigned

Oct 30, 2018

Last updated

Oct 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NY, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Sunil H. Butani Physician P.C.

  • Specialist
  • Mineola, NY
  • NPI 1912169756
  Medicare reassignment
• Bay Area Allergy & Asthma Inc

  • Allergy Physician
  • St Petersburg, FL
  • NPI 1083751580
  Medicare reassignment
• Sunil H. Butani Physician P.C.

  • Physical Medicine & Rehabilitation Physician
  • Rockville Centre, NY
  • NPI 1386279107
  NPD

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1487121240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 SUNRISE HWY",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705100",
            "telephone_number": "516-678-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SUNRISE HWY",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705100",
            "telephone_number": "516-678-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "184 Old Country Rd",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115014223",
            "country_code": "US",
            "telephone_number": "516-747-5042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12620 101st Ave",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114191547",
            "country_code": "US",
            "telephone_number": "718-322-4145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLENNER",
        "first_name": "STEPHANIE",
        "middle_name": "GLORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arnelle Blinderman, M.D.
• Yury Blitsman, M.D.
• Chava Blivaiss, MD
• Block & Bialkin MD's LLP

• Physician Assistant in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.