Individual provider Active NPI

Sara Blitenthal, FNP

  • Primary Care Nurse Practitioner
  • Jamaica, NY
National Provider Identifier
1801671706
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
352611 Issued in NY
Practice address
13704 Guy R Brewer Blvd
Jamaica, NY 11434-3731
Phone
(718) 527-3404
NPI assigned
Aug 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 352611 NY Primary

Addresses

Primary practice location

13704 Guy R Brewer Blvd
Jamaica, NY 11434-3731

Mailing address

13704 Guy R Brewer Blvd
Jamaica, NY 11434-3731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240102003673 NY Practitioner - Nurse Practitioner 2466802566 Reassigns benefits to 1 organization
I20251009003004 NV Practitioner - Nurse Practitioner 2466802566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Safe Harbor Medical, Inc.Group PAC ID 6204903792, 8 clinicians

Practice addresses (Care Compare)

2901 N Tenaya Way
Suite 100
Las Vegas, NV 89128-1404
Phone (702) 870-8852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
352611NYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prominis Medical Services PC CurrentSince Nov 18, 2023 Accepting new patients
Safe Harbor Medical, Inc. CurrentSince Jul 27, 2025 Accepting new patients
Comprehensive Women's Health of N.Y. PLLC CurrentSince Nov 18, 2023 Accepting new patients
Safe Harbor Medical, Inc. CurrentSince Jul 27, 2025 Accepting new patients
American Medical Services, PC PastSince Nov 18, 2023 Accepting new patients

Locations

2901 N Tenaya Way
Ste 100
Las Vegas, NV 89128
Phone (702) 291-2151

6829 Myrtle Ave
Glendale, NY 11385
Phone (718) 366-2242

13704 New York Blvd
Jamaica, NY 11434
Phone (718) 723-5616

13704 Guy R Brewer Blvd
Ste 1A
Jamaica, NY 11434
Phone (718) 527-3404

Organizations & group practices 5

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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1801671706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13704 GUY R BREWER BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13704 GUY R BREWER BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343731",
            "telephone_number": "718-527-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLITENTHAL",
        "first_name": "SARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "352611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.