Individual provider Active NPI

Jonathan E Blume, M.D.

  • Dermatology Physician
  • Westwood, NJ
National Provider Identifier
1013952084
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA07886700 Issued in NJ
Practice address
390 Old Hook Rd
Westwood, NJ 07675-2616
Phone
(201) 666-9550
Fax
(201) 666-1251
NPI assigned
Jun 16, 2006
Last updated
Nov 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA07886700 NJ Primary

Addresses

Primary practice location

390 Old Hook Rd
Westwood, NJ 07675-2616

Mailing address

390 Old Hook Rd
Westwood, NJ 07675-2616
Phone (201) 666-9550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060417000223 NJ Practitioner - Dermatology 8224047477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westwood Dermatology and Dermatologic Surgery Group, PAGroup PAC ID 1456393180, 9 clinicians

Practice addresses (Care Compare)

390 Old Hook Rd
West Wood, NJ 07675-2600
Phone (201) 666-9550

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
99.36
Promoting interoperability
100
Improvement activities
40
Cost
79.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions2462
Skin biopsy2833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07886700NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westwood Dermatology and Dermatologic Surgery Group, PA Dermatology CurrentSince May 1, 2006 Accepting new patients

Locations

390 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-0707

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jblume189443@ahs.direct-ci.com
  • Direct secure messaging: jeb9081@direct.nyp.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1013952084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752616",
            "telephone_number": "201-666-9550",
            "fax_number": "201-666-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752616",
            "telephone_number": "201-666-9550",
            "fax_number": "201-666-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUME",
        "first_name": "JONATHAN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA07886700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

Verify at the official NPI Registry.