Ellen Blank, MD - Dermatology in Staten Island, NY

Ellen Blank, MD is a Dermatology physician based in Staten Island, New York. Ellen Blank is licensed to practice in New York (license number 25MA03293600) and her current practice location is 1122 Richmond Road, Staten Island, New York. She can be reached at her office (for appointments etc.) via phone at (718) 987-3300.

NPI number for Ellen Blank is 1033282900 and her current mailing address is 333 Avenue C, Bayonne, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033282900.

Contact Information

Ellen Blank, MD
1122 Richmond Road,
Staten Island, NY 10304
(718) 987-3300
(718) 987-3451

Map and Direction




Physician's Profile

Full NameEllen Blank
GenderFemale
SpecialityDermatology
Location1122 Richmond Road, Staten Island, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033282900
  • Provider Enumeration Date: 11/16/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ellen Blank such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033282900NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 25MA03293600 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellen Blank is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ellen Blank, MD
333 Avenue C,
Bayonne, NJ 07002

Ph: (201) 858-4800
Ellen Blank, MD
1122 Richmond Road,
Staten Island, NY 10304

Ph: (718) 987-3300

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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