WAYNE BLACKMAN
NPI 1497812309
Social Worker in Ozone Park, NY

Q: What is Wayne Blackman's NPI number?

The NPI number for Wayne Blackman is 1497812309. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Q: What is Wayne Blackman's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Wayne Blackman was last updated on March 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment

108-19 ROCKAWAY BLVD, OZONE PARK, NY 11420(718) 845-2620(718) 845-9380 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wayne Blackman NPPES

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

WAYNE BLACKMAN (NPI 1497812309) is an individual social worker in Ozone Park, New York, licensed in New York (00073111) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1497812309

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameWAYNE BLACKMAN

Location Address108-19 ROCKAWAY BLVDOzone Park, NY 11420

Mailing Address25333 147th DrRosedale, NY 11422-2823 · (347) 757-0365

Phone(718) 845-2620

Fax(718) 845-9380

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJanuary 2, 2007

Last NPPES UpdateMarch 28, 2012

✔ NPI 1497812309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 00073111

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

108-19 ROCKAWAY BLVD, Ozone Park, NY 11420

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Other Identifiers 1

Medicare ID-Type Unspecified00073111NY

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

Wayne Blackman 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 ID6507992369

PECOS Enrollment IDI20100331000385

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.

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.

EWALD J ANTOINE M.D.

Psychiatry & Neurology (Psychiatry)