Active NPI
Joanna Concepcion Blanco, M.D.
- Internal Medicine Physician
- Harrington Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA10905800
- Practice address
- 24 Elm St
Harrington Park, NJ 07640-1902 - Phone
- (201) 784-0123
- NPI assigned
- Apr 23, 2016
- Last updated
- Feb 25, 2021
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA10905800 | NJ | Primary |
Addresses
Primary practice location
24 Elm St
Harrington Park, NJ 07640-1902
Mailing address
24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 784-0123
Other practice location 1
100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 N Washington Ave
Bergenfield, NJ 07621-2125
Phone (201) 568-0493
1555 Ctr Ave
Fort Lee, NJ 07024-4612
Phone (201) 510-0200
24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601
274 County Rd
Tenafly, NJ 07670-1040
Phone (201) 568-0493
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Englewood, PC | Internal Medicine | Current | Accepting new patients |
| Englewood Hospital and Medical Center | Past | Accepting new patients |
Locations
180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050
22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016
24 Elm St
Harrington Pk, NJ 07640
Phone (201) 784-0123
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
-
- Home Health Agency
- Paramus, NJ
- NPI 1174588925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1588018816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 ELM ST",
"city": "HARRINGTON PARK",
"state": "NJ",
"postal_code": "076401902",
"telephone_number": "201-784-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 ELM ST",
"city": "HARRINGTON PARK",
"state": "NJ",
"postal_code": "076401902",
"telephone_number": "201-784-0123"
}
],
"practiceLocations": [
{
"address_1": "100 Woods Rd",
"address_purpose": "LOCATION",
"city": "Valhalla",
"state": "NY",
"postal_code": "105951530",
"country_code": "US",
"telephone_number": "914-493-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANCO",
"first_name": "JOANNA",
"middle_name": "CONCEPCION",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-23",
"last_updated": "2021-02-25",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA10905800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrington Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.