Individual provider Active NPI

Alicia Blazejewski, MD

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1700102399
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
258760 Issued in MA
Practice address
525 E 68TH St
Emergency Department
New York, NY 10065-4870
Phone
(212) 746-0892
NPI assigned
Apr 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 258760 MA Primary
Internal Medicine Physician 207R00000X 258760 MA

Addresses

Primary practice location

525 E 68TH St
Emergency Department
New York, NY 10065-4870

Mailing address

525 E 68TH St
Box 301
New York, NY 10065-4870
Phone (201) 218-3996

Other names 1

  • Alicia Drucker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140625001472 MA Practitioner - Emergency Medicine 6002031523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sturdy Memorial Hospital IncGroup PAC ID 4981653789, 39 clinicians

Practice addresses (Care Compare)

211 Park St
Attleboro, MA 02703-3143
Phone (508) 236-8110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.49 of 100Reported as group
Quality
69.5
Promoting interoperability
100
Improvement activities
40
Cost
72.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
258760MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Emergency Physicians, Inc Emergency Medicine CurrentSince Jun 1, 2014 Accepting new patients
Sturdy Memorial Hospital Inc Emergency Medicine CurrentSince Mar 23, 2021 Accepting new patients
Sturdy Health, Inc. Internal Medicine Past Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

70 East St
Methuen, MA 01844
Phone (978) 682-1906

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1700102399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "address_2": "BOX 301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "201-218-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "212-746-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZEJEWSKI",
        "first_name": "ALICIA",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "258760",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "258760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "DRUCKER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.