Dwight C. Blum M.D. P.L.L.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

DWIGHT C. BLUM M.D. P.L.L.C.

Practice address

365 Broadway
Suite 4
Amityville, NY 11701-2716

Phone

(631) 789-1150

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dwight C Blum, M.D.

Title

Owner

Phone

(631) 789-1150

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1124172747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5111",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117060084",
            "telephone_number": "631-789-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 BROADWAY",
            "address_2": "SUITE 4",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012716",
            "telephone_number": "631-789-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWIGHT C. BLUM M.D. P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-789-1150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Andrew M Hararah DO PC Medical C
• Joanna Drucker, PMHNP
• Santos Duartes III, LMT
• Maryse C Dubois
• Kelly Durkin
• Richard Dwork, LMSW
• Donnamarie Dzikowski, LCSW
• Michael Dzwil, LMSW
• Theresa Valerie Eads, LMSW
• Christy Eden

• Orthopaedic Surgery Physician in Amityville, NY
• Providers in Amityville, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.