Daryle Blackstock, PHYSICIAN ASSISTANT
NPI 1295820298 · Physician Assistant · New York, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Daryle Blackstock, PHYSICIAN ASSISTANT is a Physician Assistant provider in New York, NY (NPI 1295820298).
Provider details
- NPI number
- 1295820298
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 006279-1 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2015-07-15
Frequently asked questions
- What is Daryle Blackstock's NPI number?
- Daryle Blackstock's National Provider Identifier (NPI) is 1295820298, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Daryle Blackstock's specialty?
- Daryle Blackstock is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Daryle Blackstock located?
- Daryle Blackstock's practice location on file with NPPES is 622 W 168th St, New York, NY 10032-3720.
- What is Daryle Blackstock's phone number?
- The practice phone number listed in the NPPES registry for Daryle Blackstock is (212) 305-7771.
- Does Daryle Blackstock accept Medicare?
- Daryle Blackstock is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Daryle Blackstock's NPI active?
- Yes — Daryle Blackstock's NPI (1295820298) is active in the NPPES registry as of the last update on 2015-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.