DR. JASMINE MICHELLE BLAKE MD, MSPH
NPI 1275160327
Pediatrics in New Hyde Park, NY

Q: What is Jasmine Blake's NPI number?

The NPI number for Jasmine Blake is 1275160327. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Jasmine Blake's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jasmine Blake was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment

410 LAKEVILLE RD STE 108, NEW HYDE PARK, NY 11042(516) 465-4377 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2024, Jul 30, 2024, Mar 26, 2020 (3 updates tracked since 2020).

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About Dr. Jasmine Michelle Blake Md, Msph NPPES

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

DR. JASMINE MICHELLE BLAKE MD, MSPH (NPI 1275160327) is an individual pediatrics provider in New Hyde Park, New York, licensed in New York (326071) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of University Of Maryland School Of Medicine (2020).

NPPES Registry Identity

NPI1275160327

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. JASMINE MICHELLE BLAKECredential: MD, MSPH

Location Address410 LAKEVILLE RD STE 108New Hyde Park, NY 11042-1102

Mailing Address410 Lakeville Rd Ste 108New Hyde Park, NY 11042-1102

Phone(516) 465-4377

Sole ProprietorYes

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2020

Enumeration DateMarch 26, 2020

Last NPPES UpdateAugust 5, 20243 updates tracked since enumeration

NPPES CertifiedAugust 5, 2024

✔ NPI 1275160327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 326071

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedInternal MedicineTaxonomy 207R00000X · License 326071 (NY)

410 LAKEVILLE RD STE 108, New Hyde Park, NY 11042

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jasmine Michelle Blake Md, Msph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860925708

PECOS Enrollment IDI20241030001835

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330195

Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 11

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

SHERRY ANN CAIOZZO NP

Nurse Practitioner (Family)