Stasia Blyskal, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

275445 Issued in NY

Practice address

32 Court St Ste 1901
Brooklyn, NY 11201-4421

Phone

(917) 597-6894

Fax

(929) 335-7962

NPI assigned

Jul 16, 2013

Last updated

Mar 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 4, 2014 through Nov 4, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1518308758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 COURT ST STE 1901",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014421",
            "telephone_number": "917-597-6894",
            "fax_number": "929-335-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 COURT ST STE 1901",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014421",
            "telephone_number": "917-597-6894",
            "fax_number": "929-335-7962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 E 40th St",
            "address_2": "Suite 905",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100161201",
            "country_code": "US",
            "telephone_number": "917-597-6894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLYSKAL",
        "first_name": "STASIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "275445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irina Blustein, DPM
• Marat Blustin, RPH
• Harvey Bluth, MD
• Irina Bluvshteyn
• Sabrina Bluvstein, FNP
• Elyse Natalia Blythe, RN
• Olivia Blythe
• Bmic Faculty Practice
• BMM Life Essential Sevices Inc
• BMN Medical P.C.

• Neuromusculoskeletal Medicine & OMM Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Neuromusculoskeletal Medicine & OMM Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.