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

John William Blackett, MD

Individual provider Gastroenterology Physician · NPI 1932594314

John William Blackett, MD is a Gastroenterology in New York, New York. Graduated from Washington University School of Medicine in 2015, 11 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and New York.

Years since qualifying
11
Trained at
Washington University School of Medicine
Licensed in
MN, NY
In the registry since
2015
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

622 W 168th St Fl 4
New York, NY 10032-3720
Phone: (212) 305-6354
Fax: (212) 305-6279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 287372 (NY)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 68865 (MN)

Record details

NPI number1932594314
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2015
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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