Individual provider Active NPI

Blossom Joy, DO

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1093784142
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
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
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS009215L PA Primary

Addresses

Primary practice location

9963 Bustleton Ave
Philadelphia, PA 19115-1557

Mailing address

9963 Bustleton Ave
Philadelphia, PA 19115-1557
Phone (484) 885-7503

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080701000407 PA Practitioner - Family PracticePractitioner - Emergency Medicine 8426955451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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)

9715 Jeanes St
Philadelphia, PA 19115-1901
Phone (215) 971-5957

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Associates LLC CurrentSince Jul 26, 2023 Accepting new patients
Prohealth Clinic CurrentSince Jul 17, 2022 Accepting new patients
Roxborough Emergency Physician Associates, LLC Emergency Medicine Past Accepting new patients

Locations

2846 Knights Rd
Bensalem, PA 19020
Phone (215) 638-8500

2846 Knights Rd
Ste B
Bensalem, PA 19020
Phone (215) 244-9894

9963 Bustleton Ave
Philadelphia, PA 19115
Phone (215) 464-2753

Interoperability endpoints

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

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.