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

Dr. Michael Andrew Blasco, MD

Individual provider Otolaryngology Physician · NPI 1588082945

Dr. Michael Andrew Blasco, MD is an Otolaryngology in Staten Island, New York. Qualified in 2014, 12 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and New York.

Years since qualifying
12
Licensed in
IL, NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

378 Seaview Ave
Staten Island, NY 10305-2200
Phone: (718) 226-6110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2601 W Main St, Carbondale, IL 62901-1031 — (618) 549-5361

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 036.158067 (IL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 313587-01 (NY)

Record details

NPI number1588082945
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2014
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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