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ELAINE ROSE BLACKMAN DO
NPI 1710636253
Pediatrics in Amsterdam, NY

Active since March 22, 2022PECOS Enrolled
4950 STATE HIGHWAY 30, AMSTERDAM, NY 12010(518) 841-3770(518) 841-3775 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 28, 2026, Jul 12, 2025 (2 updates tracked since 2025).

About Elaine Rose Blackman Do NPPES

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

ELAINE ROSE BLACKMAN DO (NPI 1710636253) is an individual pediatrics provider in Amsterdam, New York, licensed in New York (337680) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Amsterdam.

NPPES Registry Identity

NPI1710636253
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameELAINE ROSE BLACKMANCredential: DO
Location Address4950 STATE HIGHWAY 30Amsterdam, NY 12010-7520
Mailing Address70 Wilkes AveAmsterdam, NY 12010-1315 · (603) 991-3187
Phone(518) 841-3770
Fax(518) 841-3775
Sole ProprietorNo
Enumeration DateMarch 22, 2022
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1710636253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 337680
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.
4950 STATE HIGHWAY 30, Amsterdam, NY 12010
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Other Names 1

Former Name (1)Elaine Rose Armstrong

Secondary Practice Location 1

Location 1427 Guy Park AveAmsterdam, NY 12010-1064 · Phone (518) 841-3770

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elaine Rose Blackman Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Elaine Blackman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Marys Healthcare
1.5 mi
General Acute Care Hospital
427 GUY PARK AVE, ST MARYS HEALTHCARE PRIMARY CARE DEPT
Amsterdam, NY 12010
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St. Mary's Healthcare
  • 144 clinicians in this Medicare group
NPI 1518926401 (518) 841-7407

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12010 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 9

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

DR. DEBORAH A SCULCO MD
Internal Medicine (Hematology & Oncology)
4950 STATE HIGHWAY 30, CANCER MEDICINE CENTER
AMSTERDAM, NY 12010
Montgomery County (518) 770-7557
DR. MANASA ANIPINDI
Internal Medicine (Hematology & Oncology)
4950 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 841-3770
NADEEM CHOUDHRY MUMTAZ M.D.
Family Medicine
4950 STATE HIGHWAY 30, UPPER LEVEL
AMSTERDAM, NY 12010
Montgomery County (518) 841-3770
VICTORIA MILLER FNP-BC
Nurse Practitioner (Family)
4950 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 841-3770
RUSSELL JAMES AIKEN PHARM D
Pharmacist
4950 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 839-0601
ST. MARY'S HEALTHCARE
Pharmacy (Community/Retail Pharmacy)
4950 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 839-0601
ASHLEY KNOWLTON FNP
Nurse Practitioner
4950 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 770-7557
ST. MARY'S HEALTHCARE
General Acute Care Hospital
4950 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 841-3717

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 Elaine Blackman's NPI number?

The NPI number for Elaine Blackman is 1710636253. It was assigned to this individual provider in the NPPES registry on March 22, 2022. The provider is also known as Elaine Rose Armstrong.

Where is Elaine Blackman located?

Elaine Blackman practices at 4950 State Highway 30, Amsterdam, NY 12010. The listed phone number is (518) 841-3770.

What is Elaine Blackman's specialty?

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

Is Elaine Blackman enrolled in Medicare?

Yes. Elaine Blackman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elaine Blackman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elaine Blackman reassigns Medicare benefits to St Marys Healthcare (Amsterdam, NY). The 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 Elaine Blackman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elaine Blackman was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.