Kenneth Neil Blank, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010842 Issued in NY

Practice address

92 Orange Ave
Suffern, NY 10901-5408

Phone

(845) 357-0699

Fax

(845) 504-0732

NPI assigned

Feb 8, 2007

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 NY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Rockland Chiropractic, P.C.

  • Chiropractor
  • Suffern, NY
  • NPI 1942523055
  Medicare reassignment NPD Authorized official
• Elmsford Chiropractic PLLC

  • Chiropractor
  • Elmsford, NY
  • NPI 1053443754
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1629119292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 ORANGE AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015408",
            "telephone_number": "845-357-0699",
            "fax_number": "845-504-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 ORANGE AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015408",
            "telephone_number": "845-357-0699",
            "fax_number": "845-504-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "KENNETH",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan C Bisanzo
• Yolanda Black-Willialms, RN
• Amy R Black
• Tonya Blair
• Linda M Blanco, RN
• Shira C Block, OTR/L
• Jennifer Nancy Blotner, M.S. SPECIAL ED
• Joan B Blust, RN
• Michelle Rose Boccia, R.N.
• Bon Secours Charity Health System Inc. (Good Samaritan Emergency Physicians)

• Chiropractor in Suffern, NY
• Providers in Suffern, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.