Active NPIIndividual providerSole proprietor

Dr. Alex D Blanco, DPM

Podiatrist, Foot & Ankle Surgery in Passaic, New Jersey

NPI Number1881677987
Practice location
180 Lafayette Ave, Apt 12A, Passaic, NJ 07055-4746
Fax
—
Last updated
May 31, 2016

Alex D Blanco is a Podiatrist, Foot & Ankle Surgery based in Passaic, NJ. Alex D Blanco practices in Passaic, NJ and has the professional credentials of DPM. The NPI Number for Alex D Blanco is 1881677987 and holds a License No. 25MD00277500 (NJ). The current practice location address for Alex D Blanco is 180 Lafayette Ave, Apt 12A, Passaic, NJ 07055-4746 and can be reached out via phone at 973-941-3769.

Provider Profile Details

NPI Number
1881677987
Provider Name
Alex D Blanco
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
180 Lafayette Ave, Apt 12A, Passaic, NJ 07055-4746
Phone Number
973-941-3769
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
Yes
Provider Enumeration Date
November 22, 2005
Last Update Date
May 31, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 Lafayette Ave
Apt 12A
Passaic, NJ 07055-4746
Zip
07055-4746
Phone Number
973-941-3769
Passaic, NJ 07055Get directions →

Provider Business Mailing Address Details

Address
180 Lafayette Ave
Apt 12A
Passaic, NJ 07055-4746
City
Passaic
State
NJ
Zip
07055-4746
Phone Number
973-941-3769

License Information

License Number (1)
25MD00277500
License State (1)
NJ
Taxonomy (1)
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary
License Number (2)
N0060221
License State (2)
NY
Taxonomy (2)
Podiatrist, Foot & Ankle Surgery · 213ES0103X

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 Dr. Alex D Blanco, DPM?

The NPI number of Dr. Alex D Blanco, DPM is 1881677987. It was assigned on November 22, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Alex D Blanco, DPM?

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

Where does Dr. Alex D Blanco, DPM practice?

The practice location is 180 Lafayette Ave, Apt 12A, Passaic, NJ 07055-4746. 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 1881677987 directly on the NPPES registry website.

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