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BLAKE CALDWELL MD, PHD
NPI 1164125308
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 27, 2023
177 FORT WASHINGTON AVE, NEW YORK, NY 10032(866) 815-6994 Get Directions Write a Review

NPPES record last updated: August 31, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 18, 2024, Jun 30, 2024, Mar 29, 2023 (3 updates tracked since 2023).

About Blake Caldwell Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE CALDWELL MD, PHD (NPI 1164125308) is an individual student in an organized health care education/training program in New York, New York, licensed in New York (332696) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1164125308
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBLAKE CALDWELLCredential: MD, PHD
Location Address177 FORT WASHINGTON AVENew York, NY 10032-3733
Mailing Address622 W 168th St, Pb 1-301 (resident)New York, NY 10032-3720 · (212) 305-4928 · Fax (212) 305-8177
Phone(866) 815-6994
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateAugust 31, 20243 updates tracked since enumeration
NPPES CertifiedAugust 31, 2024
✔ NPI 1164125308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NY · 332696
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
177 FORT WASHINGTON AVE, New York, NY 10032
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHADY AHMED PT, DPT
Physical Therapist
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-3280
BRIGGITTE PAOLA ALCIVAR FNP
Nurse Practitioner (Family)
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (347) 215-1922
MRS. CLAUDIA ANN GHIGLIOTTY OTR
Occupational Therapist
177 FORT WASHINGTON AVE, 8 GARDEN NORTH
NEW YORK, NY 10032
New York County (212) 305-8352
BRITTANY SHINN MS OTR/L
Occupational Therapist
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-8352
NATASHA LOUISA COLEMAN
Surgery (Surgical Critical Care)
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-5970
KIMBERLY BUKOSKI PA-C
Physician Assistant
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (203) 218-4748
ANDREW ANZALONE
Student in an Organized Health Care Education/Training Program
177 FORT WASHINGTON AVE, INTERNAL MEDICINE RESIDENCY OFFICE, FLOOR 6, CENTER 12
NEW YORK, NY 10032
New York County (212) 305-6262
DANIELLE NICOLE CRUZ PHYSICIAN ASSISTANT
Physician Assistant
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-2500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Caldwell's NPI number?

The NPI number for Blake Caldwell is 1164125308. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Blake Caldwell located?

Blake Caldwell practices at 177 Fort Washington Ave, New York, NY 10032. The listed phone number is (866) 815-6994.

What is Blake Caldwell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Blake Caldwell was last updated on August 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.