Active NPI
Scott Blumberg, M.D.
- Rheumatology Physician
- Toms River, NJ
National Provider Identifier
1104897339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MA 40974
- Practice address
- 1749 Hooper Ave
Suite 103
Toms River, NJ 08753-8130 - Phone
- (732) 255-3911
- Fax
- (732) 255-0084
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | MA 40974 | NJ | Primary |
Addresses
Primary practice location
1749 Hooper Ave
Suite 103
Toms River, NJ 08753-8130
Mailing address
PO Box 4055
Suite 103
Philadelphia, PA 19118-8055
Phone (732) 255-3911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3369404 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 40974 | NJ | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1104897339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4055",
"address_2": "SUITE 103",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191188055",
"telephone_number": "732-255-3911",
"fax_number": "732-255-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1749 HOOPER AVE",
"address_2": "SUITE 103",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087538130",
"telephone_number": "732-255-3911",
"fax_number": "732-255-0084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUMBERG",
"first_name": "SCOTT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NJ",
"license": "MA 40974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3369404",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.