Organization Active NPI

Joseph a Blanco M D P C

  • Ophthalmology Physician
  • Manhasset, NY
National Provider Identifier
1871877142
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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

Updated by the provider on Nov 2, 2011

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0709499MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.