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

Individual provider Internal Medicine Physician · NPI 1396833588

Marie-Nirva Blaise, MD is a Gastroenterology in Bronx, New York. Qualified in 1987, 39 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
39
Licensed in
NY
In the registry since
2006
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

760 Grand Concourse
Bronx, NY 10451-3049
Phone: (718) 518-5550
Fax: (718) 518-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 207405 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 207405 (NY)

Record details

NPI number1396833588
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 11, 2006
Last updated in NPPESFebruary 11, 2014
Mailing address653 Lawrence St, Elmont, NY 11003-4615

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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