Phillip Garven Blanc, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MA10243900 Issued in NJ

Practice address

64 Princeton Hightstown Rd
Princeton Junction, NJ 08550-1103

Phone

(609) 799-7009

NPI assigned

Sep 3, 2008

Last updated

Oct 25, 2018By the provider in NPPES

Sex

Male

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 DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J and a Health Care LLCGroup PAC ID 8325496409, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• J & a Health Care LLC

  • Urgent Care Clinic/Center
  • Rockville, MD
  • NPI 1275312894

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1548418577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 PRINCETON HIGHTSTOWN RD",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501103",
            "telephone_number": "609-799-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 PRINCETON HIGHTSTOWN RD",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501103",
            "telephone_number": "609-799-7009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Campus Town Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "086381962",
            "country_code": "US",
            "telephone_number": "609-799-7009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANC",
        "first_name": "PHILLIP",
        "middle_name": "GARVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA10243900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Becker, SURGICAL TECH
• Emily Beene, RDN
• Jacqueline Beers, LAC
• Bhanwarlal Chowdhury MD PA
• Grace B Bialy, M.D.
• Blue Harbor Transit
• Vincent Brett, MS, PHARMD
• Britelife Behavioral Health PJ
• Capital Health Occupational Health Center
• Center for Primary Care Medicine LLC

• Emergency Medicine Physician in Princeton Junction, NJ
• Providers in Princeton Junction, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.