Active NPI
Blanca Q Williams, MS.ED
- Contractor
- Brooklyn, NY
National Provider Identifier
1568725448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 792358
- Practice address
- 2625 E 14TH St Ste 200
Brooklyn, NY 11235-3973 - Phone
- (718) 769-2698
- Fax
- (718) 943-7035
- NPI assigned
- Jun 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 792358 | NY | Primary |
Addresses
Primary practice location
2625 E 14TH St Ste 200
Brooklyn, NY 11235-3973
Mailing address
8802 35TH Ave Apt 1M
Jackson Heights, NY 11372-5718
Phone (718) 769-2698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 792358 | NY | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339804800000",
"number": "1568725448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8802 35TH AVE APT 1M",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113725718",
"telephone_number": "718-769-2698",
"fax_number": "718-943-7035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 E 14TH ST STE 200",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353973",
"telephone_number": "718-769-2698",
"fax_number": "718-943-7035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BLANCA",
"middle_name": "Q",
"credential": "MS.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-16",
"last_updated": "2012-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "792358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.