MS. CAROL BLAKE P.A., R.N., M.P.H
NPI 1669600615
Physician Assistant - Medical in Bronx, NY

Q: What is Carol Blake's NPI number?

The NPI number for Carol Blake is 1669600615. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Q: What is Carol Blake's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Carol Blake was last updated on June 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 June 29, 2009

111 E 210TH ST, NW7, MEDICINE, BRONX, NY 10467(718) 920-7441 Get Directions Write a Review

NPPES record last updated: June 29, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Carol Blake P.a., R.n., M.p.h NPPES

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

MS. CAROL BLAKE P.A., R.N., M.P.H (NPI 1669600615) is an individual medical provider in Bronx, New York, licensed in New York (001435-1) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1669600615

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. CAROL BLAKECredential: P.A., R.N., M.P.H

Location Address111 E 210TH ST, NW7, MEDICINEBronx, NY 10467-2401

Mailing Address111 E 210th St, Nw7, MedicineBronx, NY 10467-2401 · (718) 920-7441

Phone(718) 920-7441

Sole ProprietorNo

Enumeration DateJune 29, 2009

✔ NPI 1669600615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 001435-1

111 E 210TH ST, Bronx, NY 10467

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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.

DR. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)