Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871447896 Individual Practitioner Female Practitioner

Blake Ottimo

Physician Assistant • Central Islip, NY

Professional Overview & Biography Verified Profile Summary

Blake Ottimo is a registered healthcare professional specializing in Physician Assistant in Central Islip, NY. Practice services are available at 225 EASTVIEW DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

225 Eastview Dr

Central Islip, NY 117224539

Telephone 5164393337

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Central Islip, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.9 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
45 Specialists

Practicing in Central Islip, NY (15701 Statewide)

Telehealth Adoption Rate
4.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 035352

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lauren Radecki , PA-C

Physician Assistant

NPI 1003702507

Physician Assistant (Certified)

Jillian Colchamiro

Physician Assistant

NPI 1003764598
Shannon Camuso , PA-C

Physician Assistant

NPI 1003766221

Physician Assistant (Certified)

Miriam Raitport

Physician Assistant

NPI 1013840024
Maria Kurth

Physician Assistant

NPI 1023936853
Sandy Hu , PA-C

Physician Assistant

NPI 1043024946

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 25, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location February 25, 2026

Registered at 225 EASTVIEW DR, CENTRAL ISLIP, NY 117224539 (Tel: 5164393337)

📍
Updated Business Mailing Address February 25, 2026

Registered at 225 EASTVIEW DR, CENTRAL ISLIP, NY 117224539 (Tel: 5164393337)

👤
Provider Name / Credentials Updated February 25, 2026

Recorded as BLAKE OTTIMO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2026

Physician Assistant (License #035352 in NY)

🟢
Initial NPI Registration & Enumeration February 25, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871447896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2026
Last Update: February 25, 2026
Sole Proprietor: No

Mailing Address

225 Eastview Dr

Central Islip, NY 117224539

Phone: 5164393337

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.