Edison R. Blanco Physician PC
NPI 1669631032 · Family Medicine Physician · Bay Shore, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edison R. Blanco Physician PC is a Family Medicine Physician organization in Bay Shore, NY (NPI 1669631032).
Provider details
- NPI number
- 1669631032
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edison Blanco, Owner(631) 969-7875
- License
- 189607 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2008-06-02
- Last updated
- 2008-09-08
Frequently asked questions
- What is Edison R. Blanco Physician PC's NPI number?
- Edison R. Blanco Physician PC's National Provider Identifier (NPI) is 1669631032, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edison R. Blanco Physician PC?
- Edison R. Blanco Physician PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Edison R. Blanco Physician PC located?
- Edison R. Blanco Physician PC's practice location on file with NPPES is 16 Brentwood Rd, Bay Shore, NY 11706-8011.
- What is Edison R. Blanco Physician PC's phone number?
- The practice phone number listed in the NPPES registry for Edison R. Blanco Physician PC is (631) 969-7875.
- Does Edison R. Blanco Physician PC accept Medicare?
- Edison R. Blanco Physician PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Edison R. Blanco Physician PC?
- The authorized official listed on Edison R. Blanco Physician PC's NPPES record is Edison Blanco, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edison R. Blanco Physician PC's NPI active?
- Yes — Edison R. Blanco Physician PC's NPI (1669631032) is active in the NPPES registry as of the last update on 2008-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.