Active NPIOrganization

Alex D Blanco, DPM, LLC

Podiatrist, Foot & Ankle Surgery in Passaic, New Jersey

NPI Number1508998824
Practice location
180 Lafayette Ave, Apt. 12A, Passaic, NJ 07055-4719
Fax
—
Last updated
June 1, 2016

Alex D Blanco, DPM, LLC is a healthcare organization based in Passaic, NJ. Alex D Blanco, DPM, LLC practices in Passaic, NJ. The NPI Number for Alex D Blanco, DPM, LLC is 1508998824 and holds a License No. 25MD00277500 (NJ). The current practice location address for Alex D Blanco, DPM, LLC is 180 Lafayette Ave, Apt. 12A, Passaic, NJ 07055-4719 and can be reached out via phone at 973-941-3769.

Provider Profile Details

NPI Number
1508998824
Provider Name
Alex D Blanco, DPM, LLC
Provider Entity Type
Organization
Address
180 Lafayette Ave, Apt. 12A, Passaic, NJ 07055-4719
Phone Number
973-941-3769
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Organization Subpart
No
Authorized Official
Dr. Alex D Blanco · Owner · 973-941-3769
Provider Enumeration Date
March 12, 2007
Last Update Date
June 1, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 Lafayette Ave
Apt. 12A
Passaic, NJ 07055-4719
Zip
07055-4719
Phone Number
973-941-3769
Passaic, NJ 07055Get directions →

Provider Business Mailing Address Details

Address
180 Lafayette Ave
Apt. 12A
Passaic, NJ 07055-4719
City
Passaic
State
NJ
Zip
07055-4719
Phone Number
973-941-3769

License Information

License Number
25MD00277500
License State
NJ
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alex D Blanco, DPM, LLC?

The NPI number of Alex D Blanco, DPM, LLC is 1508998824. It was assigned on March 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Alex D Blanco, DPM, LLC?

Alex D Blanco, DPM, LLC is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00277500.

Where does Alex D Blanco, DPM, LLC practice?

The practice location is 180 Lafayette Ave, Apt. 12A, Passaic, NJ 07055-4719. The office can be reached at 973-941-3769 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508998824 directly on the NPPES registry website.

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