Philip B. Blank Jr. D.O. P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

189508 Issued in NY

Legal business name

PHILIP B. BLANK JR. D.O. P.C.

Practice address

325 Manville Rd.
Pleasantville, NY 10570

Phone

(914) 747-5600

Fax

(914) 747-7085

NPI assigned

Apr 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Philip B Blank Jr., D.O.NPI 1134242860

Title

Owner/Physician

Phone

(914) 747-5600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip B. Blank Jr., D.O.

  • Dermatology Physician
  • Pleasantville, NY
  • NPI 1134242860
  Medicare reassignment NPD Authorized official
• Andrea D Gordon, LCSWR

  • Clinical Social Worker
  • Pleasantville, NY
  • NPI 1437203163
  NPD (past)
• Peter Levi, MD

  • Internal Medicine Physician
  • Mount Kisco, NY
  • NPI 1629064217
  NPD (past)

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1508123639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MANVILLE RD",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702122",
            "telephone_number": "914-747-5600",
            "fax_number": "914-747-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MANVILLE RD.",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "10570",
            "telephone_number": "914-747-5600",
            "fax_number": "914-747-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP B. BLANK JR. D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "914-747-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "189508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Peake, PT
• Danny J Pepin
• Joseph Perez, RPH
• Personal Life Wellness Marriage and Family Therapy PLLC
• Dawn Pettenati
• Nicole Pia, DPT
• Dora Piccirilli, M.D.
• Pikeville Medical Center Inc
• Pleasantville Pharmacy Inc
• Pleasantville Smiles Dentistry LLC

• Dermatology Physician in Pleasantville, NY
• Providers in Pleasantville, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.