Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jerry Gene Blaivas, MD

Individual provider Legal Medicine · NPI 1124060330

Dr. Jerry Gene Blaivas, MD is a Legal Medicine in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

445 E 77th St
New York, NY 10021-2318
Phone: (212) 772-3900
Fax: (212) 772-1919
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Legal Medicine (primary) Taxonomy 173000000X · Licence 144945 1 (NY)

Record details

NPI number1124060330
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESJuly 13, 2026

Other providers in New York