Alex D Blanco, DPM, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00277500 Issued in NJ

Legal business name

ALEX D BLANCO, DPM, LLC

Practice address

180 Lafayette Ave
Apt. 12a
Passaic, NJ 07055-4719

Phone

(973) 941-3769

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alex D Blanco

Title

Owner

Phone

(973) 941-3769

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Elvis Morales, D.C.

  • Chiropractor
  • Passaic, NJ
  • NPI 1952442147
  NPD (past)
• Ratilal Patel

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1376603639
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1508998824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 LAFAYETTE AVE",
            "address_2": "APT. 12A",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554719",
            "telephone_number": "973-941-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 LAFAYETTE AVE",
            "address_2": "APT. 12A",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554719",
            "telephone_number": "973-941-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX D BLANCO, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-941-3769",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00277500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018171",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mina Aknouk, MD
• Isabel Alcatrao, PTA
• Alekya Corp
• Alekya Corp
• Adriel Alemany, LSW
• Kershina Shekira Alexander, MD
• Mahmoud M. Ali
• All Care Docs, PC
• All Care Physical Therapy and Sports Medicine Corp
• Allstate Medical Transport Service LLC

• All providers in Passaic, NJ
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.