Active NPI
Blake Elizabeth Vessa
- Obstetrics & Gynecology Physician
- Basking Ridge, NJ
National Provider Identifier
1851851729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA11750900
- Practice address
- 140 Allen Rd
Basking Ridge, NJ 07920-2976 - Phone
- (908) 616-1383
- NPI assigned
- Mar 25, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MA11750900 | NJ | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
140 Allen Rd
Basking Ridge, NJ 07920-2976
Mailing address
140 Allen Rd
Basking Ridge, NJ 07920-2976
Phone (908) 616-1383
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 |
|---|---|---|---|
| 25MA11750900 | NJ | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686441600000",
"number": "1851851729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 ALLEN RD",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079202976",
"telephone_number": "908-616-1383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 ALLEN RD",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079202976",
"telephone_number": "908-616-1383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESSA",
"first_name": "BLAKE",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-25",
"last_updated": "2023-06-11",
"certification_date": "2023-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA11750900",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Basking Ridge, NJ
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- Seeta Vaidehi Verron, MSN, RN, MPH, BA
- Vibrant Mind Centers PC
- Vincent J Giuseffi III MD LLC
- Visiting Nurse Association of Somerset Hills
- Visiting Nurse Association of Somerset Hills Community Health SVCS, in
- Visiting Nurse Association of Somerset Hills Home Health & Hospice S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.