Active NPI
Alyse Sherwin Blanchette, M.D.
- Obstetrics & Gynecology Physician
- Albany, NY
National Provider Identifier
1720348402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 278531-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 278531-1 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients |
Locations
55 Lock St
New Haven, CT 06511
Phone (203) 432-0076
Interoperability endpoints
- 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.
-
- Health Service Clinic/Center
- New Haven, CT
- NPI 1093862740
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.