Gina Blazewicz, PA-C is a
Physician Assistant - Medical physician based in Staten Island, New York. Gina Blazewicz is licensed to practice in New York (license number 029374) and her current practice location is 475 Seaview Ave, Staten Island, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 226-9000.
NPI number for Gina Blazewicz is 1154034916 and her current mailing address is 46 Linton Pl, Staten Island, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154034916.
Physician's Profile
Full Name | Gina Blazewicz |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 475 Seaview Ave, Staten Island, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154034916
- Provider Enumeration Date: 12/26/2022
- Last Update Date: 03/11/2023
Medical Identifiers
Medical identifiers for Gina Blazewicz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154034916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 029374 (New York) | Secondary |
363AM0700X | Physician Assistant - Medical | 029374 (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. Gina Blazewicz 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 Address | Practice Location Address |
Gina Blazewicz, PA-C 46 Linton Pl, Staten Island, NY 10308-1623 Ph: (347) 409-7164 | Gina Blazewicz, PA-C 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: (718) 226-9000 |
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