Active NPI
Blizo NP Adult Health, PLLC
- Nurse Practitioner
- East Greenbush, NY
National Provider Identifier
1851949754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- BLIZO NP ADULT HEALTH, PLLC
- Practice address
- 1070 Luther Rd
East Greenbush, NY 12061-4020 - Phone
- (518) 512-7681
- NPI assigned
- Sep 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Blessing Isiguzo, DNP, NP-BC
- Title
- Nurse Practitioner
- Phone
- (518) 512-7681
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
1070 Luther Rd
East Greenbush, NY 12061-4020
Mailing address
38 Santanoni Dr
Cohoes, NY 12047-4988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190926002431 | NY | Part B Supplier - Clinic/Group Practice | 5597095927 |
Receives reassigned benefits from 1 practitioner Practice locations: Albany, NY |
National Provider Directory
National Provider DirectoryPractitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- New Hartford, NY
- NPI 1598264426
NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576540800000",
"number": "1851949754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 SANTANONI DR",
"city": "COHOES",
"state": "NY",
"postal_code": "120474988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 LUTHER RD",
"city": "EAST GREENBUSH",
"state": "NY",
"postal_code": "120614020",
"telephone_number": "518-512-7681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLIZO NP ADULT HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-04",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A",
"authorized_official_last_name": "ISIGUZO",
"authorized_official_first_name": "BLESSING",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "518-512-7681",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, NP-BC"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Greenbush, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.