Bleck Exilus

  • Jamaica, NY
  • Psychiatric/mental health nurse practitioner
NPI1134935273PAC ID3274020037
Medical group
1
State license
1
Year NPI issued
2024
Practice address
138-2 Queens Blvd, Jamaica, NY 11435
Practice phone
Call (718) 298-5100
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Project Samaritan Health Services

FQHC · Jamaica, New York

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Bleck Exilus is a psychiatric/mental health nurse practitioner in Jamaica, New York

Bleck Exilus practices at Project Samaritan Health Services in Jamaica, New York.

Bleck Exilus' NPI, 1134935273, was assigned on December 4, 2024. Bleck Exilus holds Pennsylvania license SP031538.

NPI and contact details
Medicare PAC ID
3274020037
NPI enumeration date
December 4, 2024
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(718) 298-5100
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
29
Medical school graduation
2023

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Doctors and Clinicians National Downloadable File (CMS)

Bleck Exilus practices at Project Samaritan Health Services in Jamaica, New York

Bleck Exilus' primary practice is Project Samaritan Health Services, at 138-2 Queens Blvd, Jamaica, NY 11435. The practice phone is (718) 298-5100.

  • Project Samaritan Health Services
    138-2 Queens Blvd, Jamaica, NY 11435Phone(718) 298-5100

Source: Doctors and Clinicians National Downloadable File (CMS)

Bleck Exilus is affiliated with 1 site of care and 1 medical group

Bleck Exilus' primary practice is Project Samaritan Health Services in Jamaica, New York. The medical group on file is Damian Family Care Centers.

Project Samaritan Health ServicesFQHC · Jamaica, New YorkPrimary
Damian Family Care CentersBehavioral and mental health group, Jamaica, NY

Sources: Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Bleck Exilus' practice

Dmand AI tracks the electronic health record (EHR) system at each site where Bleck Exilus practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Project Samaritan Health ServicesAvailable with a free account

Source: Dmand AI Technology Install Data

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Bleck Exilus is one of 3,589 psychiatric/mental health nurse practitioners in New York

Psychiatric/mental health is Bleck Exilus' primary specialty in the NPI Registry, under taxonomy code 363LP0808X. Bleck Exilus is licensed in Pennsylvania.

Specialties and state licenses

  • Psychiatric/mental health nurse practitioner, PennsylvaniaPrimaryLicense SP031538 · taxonomy 363LP0808X

Psychiatric/mental health nurse practitioners near Bleck Exilus

Counts of psychiatric/mental health nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Bleck Exilus' patients have a median age of 48

Across all payers, Dmand AI patient panel data puts Bleck Exilus' median patient age at 48, with 0% women.

Bleck Exilus' patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 48

Patient panel by sex, all payers

  • Women0%
  • Men100%

Source: Dmand AI Patient Panel Data

How Bleck Exilus takes part in Medicare

Bleck Exilus accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

Sources for Bleck Exilus's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Primary practice, affiliations and health systemDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Affiliation Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Bleck Exilus

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Bleck Exilus' NPI number?

Bleck Exilus' NPI number is 1134935273. It was assigned on December 4, 2024, and it is active in the NPI Registry.

What does Bleck Exilus specialize in?

Bleck Exilus is a psychiatric/mental health nurse practitioner in Jamaica, New York. The primary specialty in the NPI Registry is Psychiatric/Mental Health Nurse Practitioner (taxonomy code 363LP0808X).

Where does Bleck Exilus practice?

Bleck Exilus practices at 138-2 Queens Blvd, Jamaica, NY 11435. Bleck Exilus' primary practice is Project Samaritan Health Services in Jamaica, New York.

What is Bleck Exilus' office phone number?

The practice phone on file for Bleck Exilus is (718) 298-5100.

What is Bleck Exilus' medical license number?

Bleck Exilus holds Pennsylvania license SP031538.

What medical group is Bleck Exilus part of?

Bleck Exilus is linked to Damian Family Care Centers.

Does Bleck Exilus accept Medicare?

Yes. CMS lists Bleck Exilus as accepting Medicare assignment.

How long has Bleck Exilus been practicing?

Bleck Exilus graduated from medical school in 2023, 3 years ago.

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