Active NPI
Marie Sonia Blaise, MD
- Psychiatry Physician
- Brooklyn, NY
National Provider Identifier
1902811359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 155094
- Practice address
- 1545 Atlantic Ave
Brooklyn, NY 11213-1122 - Phone
- (800) 376-5566
- NPI assigned
- Jul 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 155094 | NY | Primary |
Addresses
Primary practice location
1545 Atlantic Ave
Brooklyn, NY 11213-1122
Mailing address
PO Box 29889
New York, NY 10087-9889
Phone (800) 376-5566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01889963 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interfaith Radiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1366527772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193616000000",
"number": "1902811359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29889",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100879889",
"telephone_number": "800-376-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 ATLANTIC AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112131122",
"telephone_number": "800-376-5566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAISE",
"first_name": "MARIE",
"middle_name": "SONIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "155094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01889963",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.