Active NPI
Tanya Malka Blanch, MD
- Internal Medicine Physician
- Teaneck, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA09509100
- Practice address
- 718 Teaneck Rd
Teaneck, NJ 07666-4245 - Phone
- (201) 833-3000
- NPI assigned
- Jun 14, 2007
- Last updated
- Jul 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 262783-1 | NY | |
| Internal Medicine Physician | 207R00000X | D71168 | MD | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 25MA09509100 | NJ | Primary |
Addresses
Primary practice location
718 Teaneck Rd
Teaneck, NJ 07666-4245
Mailing address
1900 2ND Ave FL 9
Center for Comprehensive Health Practice
New York, NY 10029-7406
Phone (212) 360-7893
Other practice location 1
1900 2nd Ave Fl 9
Center for Comprehensive Health Practice
New York, NY 10029-7406
Phone (212) 360-7893
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0054 | Other | MD | BLUESHIELD |
| 97161701 | Other | DC | BLUESHIELD |
| 510454800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-1288
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D71168 | MD | MD | Internal Medicine Physician |
| 262783-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Internal Medicine | Current | Accepting new patients |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| TMB Medical Corp | Internal Medicine | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Primary Care PC | Internal Medicine | Current | Accepting new patients |
| House Physician Partners, PC | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Internal Medicine | Current | Accepting new patients |
| Meridian Medical Group - Specialty Care, PC | Internal Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600
935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Internal Medicine
-
dba HMHMG Primary Care
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
Internal Medicine
-
- Hospitalist Physician
- Teaneck, NJ
- NPI 1457377806
-
- Pediatrics Physician
- New Hyde Park, NY
- NPI 1578665048
Internal Medicine, NJ
-
- Internal Medicine Physician
- West New York, NJ
- NPI 1316606973
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
dba Riverside Medical Group
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
dba Hackensack Meridian Medical Group - One Medical PC
- Family Medicine Physician
- Edgewater, NJ
- NPI 1275362105
Internal Medicine
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hackensack University Medical Center
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Hackensack, NJ
- NPI 1518683929
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1730383530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 2ND AVE FL 9",
"address_2": "CENTER FOR COMPREHENSIVE HEALTH PRACTICE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100297406",
"telephone_number": "212-360-7893",
"fax_number": "212-348-7253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 TEANECK RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664245",
"telephone_number": "201-833-3000"
}
],
"practiceLocations": [
{
"address_1": "1900 2nd Ave Fl 9",
"address_2": "Center for Comprehensive Health Practice",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100297406",
"country_code": "US",
"telephone_number": "212-360-7893",
"fax_number": "212-348-7253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANCH",
"first_name": "TANYA",
"middle_name": "MALKA",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "262783-1",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D71168",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA09509100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD",
"identifier": "0054",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD",
"identifier": "97161701",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "510454800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.