Active NPI
Jenny Blake
- Registered Nurse
- Brooklyn, NY
National Provider Identifier
1821320193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 506269
- Practice address
- 1809 Nostrand Avenue
2 ND Floor
Brooklyn, NY 11226-7181 - Phone
- (718) 421-4224
- Fax
- (718) 421-4774
- NPI assigned
- Feb 11, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 506269 | OH | Primary |
Addresses
Primary practice location
1809 Nostrand Avenue
2 ND Floor
Brooklyn, NY 11226-7181
Mailing address
1269 East 223 Rd Street
Bronx, NY 10466-5081
Phone (917) 548-4707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02386450 | Medicaid | NY |
Other names 1
- Jenny Blake
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 506269 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helpful Hand Agency | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nursing Care Agency
- Brooklyn, NY
- NPI 1710315528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265846400000",
"number": "1821320193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1269 EAST 223 RD STREET",
"city": "BRONX",
"state": "NY",
"postal_code": "104665081",
"telephone_number": "917-548-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 NOSTRAND AVENUE",
"address_2": "2 ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112267181",
"telephone_number": "718-421-4224",
"fax_number": "718-421-4774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "JENNY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-11",
"last_updated": "2010-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "506269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02386450",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNY",
"last_name": "BLAKE",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.