Phyllis Susan Blacharsh, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

180127 Issued in NY

Practice address

680 Howard Ave
West Hempstead, NY 11552-3525

Phone

(516) 485-4527

Fax

(516) 485-4527

NPI assigned

Feb 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710026018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 HOWARD AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523525",
            "telephone_number": "516-485-4527",
            "fax_number": "516-485-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 HOWARD AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523525",
            "telephone_number": "516-485-4527",
            "fax_number": "516-485-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACHARSH",
        "first_name": "PHYLLIS",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "80282",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "180127",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G76403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Becker
• Lirizell Marie Bello
• Aimee Bench
• Latoya Bennett
• Rebecca Binstock
• Ahuva Blau, OTR/L
• Petagaye Bloomfield
• Blossoming Beginnings Corp
• Board of Education West Hempstead Union Free School District
• Stacey Boehm

• Internal Medicine Physician in West Hempstead, NY
• Providers in West Hempstead, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.