DR. ALEX D BLANCO DPM NPI 1881677987

NPI Information

NPI: 1881677987
Provider Name: DR. ALEX D BLANCO, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Address:
180 LAFAYETTE AVE
APT 12A
PASSAIC, NJ
ZIP 07055
Phone: (973) 941-3769
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DR. Alex D Blanco, DPM is a foot and ankle surgery podiatrist in Passaic, NJ. DR. Alex D Blanco, DPM NPI is 1881677987. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

180 LAFAYETTE AVE
APT 12A
PASSAIC, NJ
ZIP 07055-746
Phone: (973) 941-3769

The enumeration date for this NPI number is 11/22/2005 and was last updated on 5/31/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	N0060221	NEW YORK	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	25MD00277500	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U99569	MEDICARE UPIN
2	0018171	MEDICAID	NEW JERSEY
3	PJ9801	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	MANHATTAN
4	078363	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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