Individual provider Active NPI

Debbian Fletcher-Blake, FNP

  • Adult Medicine Physician
  • New York, NY
National Provider Identifier
1841290046
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
F331340 Issued in NY
Practice address
30 E 33Rd St
5TH Floor
New York, NY 10016-5337
Phone
(212) 366-4459
NPI assigned
Jul 28, 2005
Last updated
Dec 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X F331340 NY Primary

Addresses

Primary practice location

30 E 33Rd St
5TH Floor
New York, NY 10016-5337

Mailing address

30 E 33Rd St
5TH Floor
New York, NY 10016-5337
Phone (212) 366-4459

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250820003617 NY Practitioner - Nurse Practitioner 0345394326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

770 E 176TH St
FL 6
Bronx, NY 10460-4617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F331340NYMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vocational Instruction Project Community Services Inc CurrentSince Jun 14, 2025 Accepting new patients
Vocational Instruction Project Community Services, Inc. CurrentSince Jun 14, 2025 Accepting new patients
Care for the Homeless PastSince Jan 1, 2006 Accepting new patients

Locations

770 E 176th St
Bronx, NY 10460
Phone (718) 583-5150

770 E 176th St
Fl 6
Bronx, NY 10460
Phone (718) 466-8967

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vocational Instruction Project Community Services, Inc.Bronx, NY, CCN 571002 Federally qualified health center Corporate Officer
Operational/Managerial Control
Jun 1, 2018
Jun 1, 2018
Vocational Instruction Project Community Services, Inc.Bronx, NY, CCN 571054 Federally qualified health center Corporate Officer
Operational/Managerial Control
Jun 1, 2018
Jun 1, 2018
Morris Heights Health Center, Inc.Bronx, NY, CCN 571078 Federally qualified health center Operational/Managerial Control Nov 19, 2015

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1841290046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 33RD ST",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165337",
            "telephone_number": "212-366-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 33RD ST",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165337",
            "telephone_number": "212-366-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER-BLAKE",
        "first_name": "DEBBIAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "F331340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.