Individual provider Active NPI

Alyse Sherwin Blanchette, M.D.

  • Obstetrics & Gynecology Physician
  • Albany, NY
National Provider Identifier
1720348402
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
278531-1 Issued in NY
Practice address
391 Myrtle Ave Ste 200
Albany, NY 12208-3835
Phone
(518) 262-4942
Fax
(518) 262-5291
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 278531-1 NY Primary

Addresses

Primary practice location

391 Myrtle Ave Ste 200
Albany, NY 12208-3835

Mailing address

391 Myrtle Ave Ste 200
Albany, NY 12208-3835
Phone (516) 606-8699

Other practice location 1

259 1st St
Apt 4B
Mineola, NY 11501-3957
Phone (516) 663-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20210326000057 CT Practitioner - Obstetrics/Gynecology 1456622596 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
278531-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Feb 15, 2021 Accepting new patients
Yale University CurrentSince Feb 15, 2021 Accepting new patients

Locations

55 Lock St
New Haven, CT 06511
Phone (203) 432-0076

Interoperability endpoints

  • Direct secure messaging: ablanchette498564@direct.ynhh.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1720348402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 MYRTLE AVE STE 200",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083835",
            "telephone_number": "516-606-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 MYRTLE AVE STE 200",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083835",
            "telephone_number": "518-262-4942",
            "fax_number": "518-262-5291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 1st St",
            "address_2": "Apt 4B",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115013957",
            "country_code": "US",
            "telephone_number": "516-663-8660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCHETTE",
        "first_name": "ALYSE",
        "middle_name": "SHERWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "278531-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.