DR. MIGUEL L BLANCO (NPI# 1235127861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235127861 |
| Entity Type | Individual |
| Full Name | DR. MIGUEL L BLANCO |
| Credential | MD |
| Practice Address |
951 Roanoke Ave Riverhead NY 11901-2724 |
| Mailing Address |
45 Research Way Suite 204 East Setauket NY 11733-6401 |
| Practice Telephone | 6317277773 |
| Practice Fax Number | 6313694994 |
| Mailing Telephone | 6316158272 |
| Mailing Fax Number | 6313507200 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2013-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
180073-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01231781 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831541580 | Miguel Blanco | Behavioral Analyst | 4417 E Colonial Dr, Orlando, FL 32803 | 2016-07-06 |
| Street Address |
951 ROANOKE AVE |
| City | RIVERHEAD |
| State | NY |
| Zip Code | 11901-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932688629 | Peconic Cardiology, PC | Nuclear Medicine | 951 Roanoke Ave, Riverhead, NY 11901-2724 | 2018-08-13 |
| 1083116040 | Courtney Dubrowsky | Nurse Practitioner | 951 Roanoke Ave, Riverhead, NY 11901-2724 | 2018-03-06 |
| 1235404880 | Christopher Ragona | Physician Assistant | 951 Roanoke Ave, Riverhead, NY 11901-2724 | 2012-03-15 |
| 1558667907 | Eastern Suffolk Cardiology - Stony Brook Community Medical PC | Internal Medicine | 951 Roanoke Ave, Riverhead, NY 11901-2724 | 2011-02-02 |
| 1457678179 | Andrew Eli Persits | Internal Medicine | 951 Roanoke Ave, Riverhead, NY 11901 | 2010-04-21 |
| 1922214675 | Cristie Lee Vasso | Physician Assistant | 951 Roanoke Ave, Riverhead, NY 11901-2724 | 2007-05-16 |
| 1396890042 | Stanley Katz | Internal Medicine | 951 Roanoke Ave, Riverhead, NY 11901 | 2007-01-24 |
| 1700824364 | Eastern Suffolk Cardiology PC | Internal Medicine | 951 Roanoke Ave, Riverhead, NY 11901-2724 | 2006-06-03 |
| 1790722304 | Sean M Donahoe | Internal Medicine | 951 Roanoke Ave, Riverhead, NY 11901-2724 | 2006-06-01 |
| 1255389250 | Karla Brantuk | Physician Assistant | 951 Roanoke Ave, Riverhead, NY 11901-2724 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102786 | Michael Arthur Frangeskos | Physician Assistant | 1330 Roanoke Avenue, Riverhead, NY 11901 | 2020-01-06 |
| 1922569136 | Mjd Optical Corp | Optometrist | 1053 Route 58 Roanoke Ave, Riverhead, NY 11901 | 2019-03-29 |
| 1356837702 | Justin M Liu | Physician Assistant | 31 Main Rd Ste 3, Riverhead, NY 11901 | 2018-07-09 |
| 1467943522 | North Shore Hematology Oncology Associates PC | Clinic/Center | 750 Old Country Rd Bldg 2, Riverhead, NY 11901 | 2018-05-24 |
| 1063918688 | Riverhead Volunteer Ambulance Corps Inc | Ambulance | 111 Osborn Ave, Riverhead, NY 11901 | 2018-04-03 |
| 1669977906 | Joseph Cataldo | Student in an Organized Health Care Education/Training Program | 64 Ida Lane, Riverhead, NY 11901 | 2018-03-28 |
| 1861903056 | The Flanders Northampton Volunteer Ambulance Company Inc | Ambulance | 641 Flanders Road, Flanders, NY 11901 | 2017-10-16 |
| 1336676659 | Patricia Ann Leask | Registered Nurse | 300 Center Drive Suite 250, Methadone Clinic Department of Mental Health, Riverhead, NY 11901 | 2017-05-17 |
| 1922463447 | Diana Williams-burke | Counselor | 550 East Main St Suite 103, Riverhead, NY 11901 | 2015-12-29 |
| 1699155549 | Twin Forks Optometry, Pllc | Optometrist | 25 Cranberry Street, Riverhead, NY 11901 | 2015-06-05 |
| Find all providers in zip 11901 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768814 | Mark Saporita | Internal Medicine | 1279 E Main St, Riverhead, NY 11901-2583 | 2005-05-31 |
| 1578934071 | Winthrop Community Medical Affiliates, PC | Internal Medicine | 1279 E Main St, Riverhead, NY 11901-2583 | 2015-10-12 |
| 1457678179 | Andrew Eli Persits | Internal Medicine | 951 Roanoke Ave, Riverhead, NY 11901 | 2010-04-21 |
| 1467694836 | East End Cardiology PC | Internal Medicine | 1279 E Main St, Riverhead, NY 11901-2583 | 2009-04-01 |
| 1710155916 | William James Buckley | Internal Medicine | 1279 E Main St, Riverhead, NY 11901-2583 | 2008-02-11 |
| 1396890042 | Stanley Katz | Internal Medicine | 951 Roanoke Ave, Riverhead, NY 11901 | 2007-01-24 |
| 1700940939 | East End Cardiology, PC | Internal Medicine | 1279 E Main St, Riverhead, NY 11901-2583 | 2006-12-21 |
| 1700824364 | Eastern Suffolk Cardiology PC | Internal Medicine | 951 Roanoke Ave, Riverhead, NY 11901-2724 | 2006-06-03 |
| 1811987522 | Bibiana D Stephen | Internal Medicine | 951 Roanoke Ave, Riverhead, NY 11901-2724 | 2005-10-24 |
| 1568450062 | Rajoo C Patel | Internal Medicine | 951 Roanoke Ave, Riverhead, NY 11901-2724 | 2005-10-10 |
| Find all providers in RIVERHEAD | ||||
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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.