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PHILIP B. BLANK JR. D.O. P.C.
NPI 1508123639
Dermatology in Pleasantville, NY

Active since April 13, 2012
325 MANVILLE RD., PLEASANTVILLE, NY 10570(914) 747-5600(914) 747-7085 Get Directions Write a Review

NPPES record last updated: April 13, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Philip B. Blank Jr. D.o. P.c. NPPES

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

PHILIP B. BLANK JR. D.O. P.C. (NPI 1508123639) is a healthcare organization registered as a dermatology in Pleasantville, New York and active in the NPI registry since April 2012. The organization lists Philip B Blank, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1508123639
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePHILIP B. BLANK JR. D.O. P.C.
Location Address325 MANVILLE RD.Pleasantville, NY 10570
Mailing Address325 Manville RdPleasantville, NY 10570-2122 · (914) 747-5600 · Fax (914) 747-7085
Phone(914) 747-5600
Fax(914) 747-7085
Organization SubpartNo
Authorized OfficialPhilip B BlankOwner/physician · (914) 747-5600
Enumeration DateApril 13, 2012
✔ NPI 1508123639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 189508
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
325 MANVILLE RD., Pleasantville, NY 10570
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Other Identifiers 1

Medicare UPIN090511NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip B. Blank Jr. D.o. P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20120522000731Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Philip B. Blank Jr. D.O. P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Philip Blank, D.O.
Dermatology
NPI 1134242860
325 MANVILLE RD
Pleasantville, NY 10570
(914) 747-5600
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Philip B. Blank Jr. D.O. P.C.'s NPI number?

The NPI number for Philip B. Blank Jr. D.O. P.C. is 1508123639. It was assigned to this organization in the NPPES registry on April 13, 2012.

Where is Philip B. Blank Jr. D.O. P.C. located?

Philip B. Blank Jr. D.O. P.C. is located at 325 Manville Rd., Pleasantville, NY 10570. The listed phone number is (914) 747-5600.

What is Philip B. Blank Jr. D.O. P.C.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Philip B. Blank Jr. D.O. P.C. enrolled in Medicare?

Yes. Philip B. Blank Jr. D.O. P.C. is registered in the Medicare PECOS enrollment system.

When is Philip B. Blank Jr. D.O. P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Philip B. Blank Jr. D.O. P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Philip B. Blank Jr. D.O. P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Philip B. Blank Jr. D.O. P.C. was last updated on April 13, 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.