Blessen John, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

019089 Issued in NY

Practice address

3365 14TH St
Apt 2D
Long Island City, NY 11106-4648

Phone

(718) 427-5688

NPI assigned

Sep 18, 2015

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bjohn516971@nyumc.direct-ci.com

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.

• The Mount Sinai Hospital

  • General Acute Care Hospital
  • Long Island City, NY
  • NPI 1013948595
  Medicare reassignment NPD
• Alexandre B. de Moura MD PC

  • Specialist
  • Westbury, NY
  • NPI 1881863447
  Medicare reassignment
• Mount Sinai Hospital

  • Community/Retail Pharmacy
  • Astoria, NY
  • NPI 1588408421
  NPD

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1649649757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 14TH ST",
            "address_2": "APT 2D",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111064648",
            "telephone_number": "718-427-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 14TH ST",
            "address_2": "APT 2D",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111064648",
            "telephone_number": "718-427-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "BLESSEN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "019089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damilka Joaquin Gonzalez, RN
• Joel Kouame
• Ralph Joglar Jr., M.A CCC/SLP
• John N. Keriazes, D.D.S., P.C.
• Ekaete John-Omotosho
• Praisy John, MS, FNP-BC, BS, RN
• Lishaun D Johnson, RN
• Terrina Alexandria Johnson
• Tina M Johnson, FNP
• Wrenelle Johnson, M.A., CCC-SLP

• Surgical Physician Assistant in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.