Individual provider Active NPI

Maria Pia De Blasio, MD

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1861580060
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NY147742 Issued in NY
Practice address
3065 Grand Concourse
Bronx, NY 10468
Phone
(718) 295-3898
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NY147742 NY Primary

Addresses

Primary practice location

3065 Grand Concourse
Bronx, NY 10468

Mailing address

3065 Grand Concourse
Bronx, NY 10468
Phone (718) 295-3898

Other identifiers 1

IdentifierTypeStateIssuer
00676320MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120430000201 NY Practitioner - General Practice 0648432146 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3065 Grand Concourse
1G
Bronx, NY 10468-1423
Phone (718) 295-3898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NY147742NYMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861580060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10468",
            "telephone_number": "718-295-3898",
            "fax_number": "718-295-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10468",
            "telephone_number": "718-295-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE BLASIO",
        "first_name": "MARIA PIA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "NY147742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00676320",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.