Active NPI
Joseph a Blanco M D P C
- Ophthalmology Physician
- Manhasset, NY
National Provider Identifier
1871877142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- JOSEPH A BLANCO M D P C
- Practice address
- 133 Plandome Rd
Manhasset, NY 11030-2331 - Phone
- (516) 627-0033
- Fax
- (516) 627-7354
- NPI assigned
- Oct 5, 2011
- 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
- Joseph A Blanco, M.D.
- Title
- Sole Owner
- Phone
- (516) 627-0033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
133 Plandome Rd
Manhasset, NY 11030-2331
Mailing address
133 Plandome Rd
Manhasset, NY 11030-2331
Phone (516) 627-0033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0709499 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
133 Plandome Rd
Plandome, NY 11030
Phone (516) 482-3080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320192000000",
"number": "1871877142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 PLANDOME RD",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110302331",
"telephone_number": "516-627-0033",
"fax_number": "516-627-7354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 PLANDOME RD",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110302331",
"telephone_number": "516-627-0033",
"fax_number": "516-627-7354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH A BLANCO M D P C",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-05",
"last_updated": "2011-11-02",
"status": "A",
"authorized_official_last_name": "BLANCO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "516-627-0033",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0709499",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.