JONATHAN A BLAU


Address: 475 Seaview Ave, Dept. of Pediatrics, Staten Island, NY 10305-3436
Phone: 7182268123

JONATHAN A BLAU (NPI# 1316141161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316141161
Entity Type Individual
Full Name JONATHAN A BLAU
Credential M.D.
Practice Address 475 Seaview Ave
Dept. of Pediatrics
Staten Island
NY 10305-3436
Mailing Address 1 Edgewater St
6th Fl.
Staten Island
NY 10305-4907
Practice Telephone 7182268123
Practice Fax Number 7182261128
Mailing Telephone 7182261008
Mailing Fax Number 7182261039
Enumeration Date 2007-06-14
Last Update Date 2011-07-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
242947 NY Allopathic & Osteopathic Physicians

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1396066619 Jonathan Michael Blau Orthopaedic Surgery 16311 Ventura Blvd Ste 1150, Encino, CA 91436-4386 2010-06-22
1942260567 Jonathan Blau Physical Medicine & Rehabilitation 2737 S Broadway Ave, Tyler, TX 75701 2006-03-27

Office Location

Street Address 475 SEAVIEW AVE
DEPT. OF PEDIATRICS
City STATEN ISLAND
State NY
Zip Code 10305-3436

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083611537 Than Than Aye Anesthesiology 475 Seaview Ave, Staten Island, NY 10305-3436 2005-06-30
1780285346 Daphne Andrea Duran Nurse Practitioner 475 Seaview Ave, Staten Island, NY 10305-3436 2020-11-02
1912505595 Jennifer Ann Holtzbach Nurse Practitioner 475 Seaview Ave, Staten Island, NY 10305-3436 2020-10-15
1649877564 Michelle Ramsaroop Physician Assistant 475 Seaview Ave, Staten Island, NY 10305-3436 2020-10-04
1174130694 Juda Zurndorfer Nurse Practitioner 475 Seaview Ave, Staten Island, NY 10305-3436 2020-09-29
1780299362 Lorenzo Brown Registered Nurse 475 Seaview Ave, Staten Island, NY 10305-3436 2020-09-10
1780294959 Valerie Jioia Physician Assistant 475 Seaview Ave, Staten Island, NY 10305-3436 2020-08-03
1679199368 Madison Lynn Robbins Physician Assistant 475 Seaview Ave, Staten Island, NY 10305-3436 2020-06-18
1598389678 Brianna Nichole Hines Student in an Organized Health Care Education/Training Program 475 Seaview Ave, Staten Island, NY 10305-3436 2020-06-03
1912521279 Christina Valerio Registered Nurse 475 Seaview Ave, Staten Island, NY 10305-3436 2020-06-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972101517 Gina Sinchi Specialist 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 2020-10-15
1003436783 Ali Kassem Student in an Organized Health Care Education/Training Program 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 2020-04-22
1174183982 Mohammad Ass'ad Alshami Student in an Organized Health Care Education/Training Program 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 2019-06-14
1639632508 Abdullah Jahangir Student in an Organized Health Care Education/Training Program 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 2019-04-09
1922593813 Ifeyinwa Mary Asuzu Student in an Organized Health Care Education/Training Program 1 Edgewater Plaza Staten Island, New York, NY 10305 2018-06-25
1700377652 Celeste Jude Chow Speech-Language Pathologist 841 Father Capodanno Blvd, Staten Island, NY 10305 2018-05-27
1972094878 Mahmoud Shadi Student in an Organized Health Care Education/Training Program 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 2018-05-25
1396235131 Samyak Hiteshkumar Dhruv Student in an Organized Health Care Education/Training Program 475 Seaview Avenue, Staten Island, NY 10305 2018-05-17
1720583404 Michele Corrado Nurse Practitioner 27 Xenia St, Staten Island, NY 10305 2018-03-26
1861995912 Erika Renick Dietitian, Registered 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 2018-03-15
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629338900 Priyadarshani Giri Pediatrics Staten Island University Hospital, Dept Pediatrics, 475 Seaview Avenue, Staten Island, NY 10305 2012-05-21
1750724647 Amanda Rahman Pediatrics 475 Seaview Ave, Staten Island, NY 10305-3436 2013-04-10
1194082834 Courtney Briggs-steinberg Pediatrics 475 Seaview Ave, Staten Island, NY 10305 2012-04-19
1932265832 Santosh Manohar Parab Pediatrics 355 Bard Ave, Svcmc-department of Pediatrics, Staten Island, NY 10310-1664 2006-12-28
1619903978 Staten Island Neonatology PC Pediatrics 475 Seaview Ave, Staten Island, NY 10305-3436 2006-06-25
1871571570 Philip Roth Pediatrics 475 Seaview Ave, Staten Island, NY 10305-3436 2006-01-04
1518945203 Shashi Sahdev Pediatrics 475 Seaview Ave, Staten Island, NY 10305-3436 2006-01-04
1225016918 Sivaroopi Coomaralingam Pediatrics 475 Seaview Ave, Staten Island, NY 10305-3436 2006-01-04
1447238217 Sylvia Arroyo Pediatrics 475 Seaview Ave, Staten Island, NY 10305-3436 2006-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447893193 Karen Lynn Marsh Pediatrics 64 Willow St, Guilderland, NY 12084-9778 2019-10-25
1497227094 Alison Kent Pediatrics Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 2018-12-20
1639697329 Lily Michelle Barres Pediatrics 601 Elmwood Ave Box 651, Rochester, NY 14642-0001 2017-09-01
1093238339 Maria Pygerou-kofinas Pediatrics 506 Sixth Street Kp4, Brooklyn, NY 11215 2017-07-19
1063893089 Namirembe Joan Kazibwe Pediatrics 539, 85th Street, Apt 3f, Brooklyn, NY 11209 2015-06-16
1114339322 Michelle Quan Pediatrics 388 Bridge St, Apt 11b, Brooklyn, NY 11201-5210 2014-05-21
1215347026 Babina K Nayak Pediatrics 435 Avalon Gardens Dr Apt 435, Nanuet, NY 10954-7433 2014-05-01
1952728883 Thomas Hays Pediatrics 41 Hausman St, Brooklyn, NY 11222 2014-03-28
1437597614 Umesh Paudel Pediatrics 100 Woods Rd Pmb 605, Valhalla, NY 10595 2013-06-10
1144668484 Irina Kaminyar Pediatrics 24023 68th Ave, Douglaston, NY 11362-1928 2013-06-09
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Competitor

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City STATEN ISLAND
Zip Code 10305

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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