BLAKE ANDREW PHILLIPS M.D.
NPI 1942526090
Student in an Organized Health Care Education/Training Program in New York, NY
About Blake Andrew Phillips M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAKE ANDREW PHILLIPS M.D. (NPI 1942526090) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blake Andrew Phillips M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
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 Blake Phillips's NPI number?
The NPI number for Blake Phillips is 1942526090. It was assigned to this individual provider in the NPPES registry on April 14, 2010.
Where is Blake Phillips located?
Blake Phillips practices at 1 Park Ave 7th Floor, New York, NY 10016. The listed phone number is (501) 538-7333.
What is Blake Phillips's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Blake Phillips enrolled in Medicare?
Yes. Blake Phillips is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Blake Phillips was last updated on June 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Blake Andrew Phillips, M.D. · NPI 1942526090
Student in an Organized Health Care Education/Training Program provider in New York, New York. Individual provider, active in the CMS NPPES registry since April 14, 2010.
## Identity
- **NPI:** 1942526090 (Entity type: Individual)
- **Enumerated:** April 14, 2010
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1 PARK AVE, 7TH FLOOR, New York, NY 10016-5802
- **Phone:** (501) 538-7333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 21, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1942526090) · Data from the CMS NPPES public registry.