Individual provider Active NPI

Howard Michael Blank, D.P.M.

  • Podiatrist
  • Scarsdale, NY
National Provider Identifier
1750446241
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003068 Issued in NY
Practice address
455 Central Park Ave
Scarsdale, NY 10583-1060
Phone
(914) 358-4018
Fax
(914) 358-4020
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003068 NY Primary
Sports Medicine Podiatrist 213ES0000X N003068 NY
Foot & Ankle Surgery Podiatrist 213ES0103X N003068 NY

Addresses

Primary practice location

455 Central Park Ave
Scarsdale, NY 10583-1060

Mailing address

455 Central Park Ave
Scarsdale, NY 10583-1060
Phone (914) 358-4018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080218000241 NY Practitioner - Podiatry 5799868576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afsana Qader DPM PCGroup PAC ID 5496995326, 4 clinicians

Practice addresses (Care Compare)

984 N Broadway
Suite L07
Yonkers, NY 10701-1319
Phone (914) 582-8018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003068NYMDFoot & Ankle Surgery Podiatrist
003068NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Afsana Qader, DPM P.C. Podiatrist CurrentSince Oct 15, 2018 Accepting new patients
Afsana Qader, DPM P.C Podiatrist CurrentSince Oct 15, 2018 Accepting new patients

Locations

10 Memorial Hwy
New Rochelle, NY 10801
Phone (914) 632-2067

182 Martine Ave
White Plains, NY 10601
Phone (305) 206-7096

984 N Broadway
Ste L07
Yonkers, NY 10701
Phone (914) 327-3390

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1750446241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 CENTRAL PARK AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831060",
            "telephone_number": "914-358-4018",
            "fax_number": "914-358-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 CENTRAL PARK AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831060",
            "telephone_number": "914-358-4018",
            "fax_number": "914-358-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "HOWARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003068",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NY",
            "license": "N003068",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N003068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.