Toniann Bligh, PA
Individual provider Active NPI Physician Assistant · Roslyn, NY
NPI 1649320474 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1649320474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 007545 (NY)
- Practice address
- 100 Port Washington Blvd
Roslyn, NY 11576-1353 - Phone
- (516) 338-5300
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071130000036 | NY | Practitioner - Physician Assistant | 0749376481 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Hospital United States Catholic Conference | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- toni-ann.bligh.1@17365.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007545 | NY | Yes |
Addresses
Primary practice location
100 Port Washington Blvd
Roslyn, NY 11576-1353
Mailing address
PO Box 1048
Port Washington, NY 11050-1048
Phone (516) 338-5358
Other names
- Toniann Sicoli
Other providers in Roslyn, NY
- Barbra Berwald
- Wendy Bezko Colligan
- Priti Bhushan
- Karina Bibicheff
- Kelly Bitran
- David Steven Blum
- Denise Laura Blumberg
- Amanda Susan Bocca
- Susan Bouton
- Akram Boutros
All providers in Roslyn, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.