Blossom Joy, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS009215L Issued in PA

Practice address

9963 Bustleton Ave
Philadelphia, PA 19115-1557

Phone

(484) 885-7503

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pro Health ClinicGroup PAC ID 6901280353, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Salus Health Inc. Home health agency, Feasterville, PA, CCN 398187

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blossom.kunnel.1@27521.direct.athenahealth.com
• Direct secure messaging: blossom.joy.1@19095.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19095/brand/1/csg/1/fhir/r4

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

• Prohealth Clinic

  • Primary Care Clinic/Center
  • Bensalem, PA
  • NPI 1679156632
  Medicare reassignment Care Compare group NPD
• Prohealth Associates LLC

  • Family Nurse Practitioner
  • Huntingdon Valley, PA
  • NPI 1518567106
  Medicare reassignment NPD
• Roxborough Emergency Physician Associates, LLC

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1538250477
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Salus Health Inc

  • Home Health Agency
  • Feasterville Trevose, PA
  • NPI 1083933733
  Care Compare affiliation

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1093784142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9963 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151557",
            "telephone_number": "484-885-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9963 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151557",
            "telephone_number": "484-885-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOY",
        "first_name": "BLOSSOM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS009215L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268054800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Jove, D.M.D.
• Joan Nicole Joven
• Joy & Comfort Home Care
• Joy and Care , Inc
• Joy of Living Recovery Program Inc
• Bonnie Ann Joy, PAC
• Christina Ann Joy, M.D.
• Jasmine Goshil Joy
• Javed Joy, MD
• Michelle Joy, M.D.

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.