MR. DAVID E BLAIZE (NPI# 1821155870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821155870 |
| Entity Type | Individual |
| Full Name | MR. DAVID E BLAIZE |
| Credential | PA |
| Practice Address |
233 Nostrand Ave Brooklyn NY 11205-4924 |
| Mailing Address |
345 Schermerhorn St Brooklyn NY 11217-1025 |
| Practice Telephone | 7188265904 |
| Mailing Telephone | 7184033547 |
| Mailing Fax Number | 7188580145 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
001810 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 001810 | 01 |
| Street Address |
233 NOSTRAND AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11205-4924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760445456 | Jaleh Yeganeh-parast | Pediatrics | 233 Nostrand Ave, Bedford Williamsburg Ctr, Brooklyn, NY 11205 | 2006-04-11 |
| 1013456870 | Labinia Osei-bonsu | Clinic/Center | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2017-02-13 |
| 1134667405 | Joy Fevrier | Nurse Practitioner | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2017-02-07 |
| 1770021404 | Taiwo Babalola | Nurse Practitioner | 233 Nostrand Ave, Brooklyn, NY 11205 | 2017-02-01 |
| 1336697036 | Lucas H West | Audiologist | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2016-09-12 |
| 1447629811 | Brooklyn Hearing Associates | Hearing Aid Equipment | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2015-09-16 |
| 1871971549 | Nada Saymeh | Family Medicine | 233 Nostrand Ave, Brooklyn, NY 11205 | 2015-05-13 |
| 1477930477 | Evgeniy Leviev | Family Medicine | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2015-04-29 |
| 1619368040 | Colleen Wickham | Nurse Practitioner | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2015-02-06 |
| 1407262470 | Shakhira N. D. Evans | Registered Nurse | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2014-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922517176 | Hind Ibrahim | Speech-Language Pathologist | 195 Sanford Street, Brooklyn, NY 11205 | 2017-09-20 |
| 1710402573 | Pierrette Augustin | Registered Nurse | 84 Carlton Ave, Apt. 5a, Brooklyn, NY 11205 | 2017-08-13 |
| 1104368422 | Damali Robinson | Speech-Language Pathologist | 195 Willoughby Avenue, Apartment 609, Brooklyn, NY 11205 | 2016-11-17 |
| 1316304413 | Kyung Han | Case Manager/Care Coordinator | 950 Kent Avenue, 3f, Brooklyn, NY 11205 | 2016-01-20 |
| 1285039081 | Shani Jordan-goldman | Dietitian, Registered | 80 Vanderbilt Ave, Brooklyn, NY 11205 | 2014-10-23 |
| 1205274719 | Kaitlyn M Rindos | Speech-Language Pathologist | 805 Kent Avenue, Suite 101, Brooklyn, NY 11205 | 2013-06-06 |
| 1386985323 | Rose Marie Demosthene | Registered Nurse | Cumberland D&tc, 100 North Portland Avenue, Brooklyn, NY 11205 | 2013-03-14 |
| 1780940627 | Michele Goldman | Registered Nurse | 195 Sandford Street, Brooklyn, NY 11205 | 2012-04-04 |
| 1629202312 | Safeway Medical Supplies | Durable Medical Equipment & Medical Supplies | 196 Clinton Ave, Suite C25, Brooklyn, NY 11205 | 2009-05-08 |
| 1811136286 | Susan Jarrell | Acupuncturist | 208 Washington Park Apt 1b, Brooklyn, NY 11205 | 2009-02-09 |
| Find all providers in zip 11205 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710517305 | Angenis Lin | Physician Assistant | 1526 83rd St, Brooklyn, NY 11228-3130 | 2020-01-22 |
| 1740848985 | Mallory Des Champs | Physician Assistant | 7901 4th Ave Ste A20, Brooklyn, NY 11209-3957 | 2019-06-03 |
| 1588140230 | Sharon Cheptum Griesinger | Physician Assistant | 276 Hawthorne St Apt 1, Brooklyn, NY 11225-5908 | 2018-07-16 |
| 1336651629 | Francine Panely | Physician Assistant | 460 Neptune Ave Apt 18r, Brooklyn, NY 11224-4325 | 2017-10-26 |
| 1265951479 | Leah Mcmullen | Physician Assistant | 803 Nostrand Ave Apt 1l, Brooklyn, NY 11225-1539 | 2017-09-19 |
| 1033655378 | Zacharia El-samin | Physician Assistant | 21 Pine Tree Ter, Brooklyn, CT 06234-3324 | 2017-01-10 |
| 1982156816 | Chad Smartt | Physician Assistant | 988 E 39th St, Brooklyn, NY 11210-3508 | 2016-10-26 |
| 1154870913 | Christina Masaitis | Physician Assistant | 2171 E 18th St, Apt 1c, Brooklyn, NY 11229-4468 | 2016-09-22 |
| 1447615737 | Eliezer Gurkov | Physician Assistant | 888 Montgomery St, Apt F12, Brooklyn, NY 11213-5888 | 2015-12-31 |
| 1588039846 | Inna Kremen | Physician Assistant | 2829 Ocean Pkwy Ste 3, Brooklyn, NY 11235-7859 | 2015-12-11 |
| Find all providers in BROOKLYN | ||||
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| 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.