Steven David Blonder, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

035746 Issued in NY

Practice address

6 Sequoia Dr
Hauppauge, NY 11788-2630

Phone

(631) 265-8633

Fax

(631) 360-3933

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174547921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SEQUOIA DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882630",
            "telephone_number": "631-265-8633",
            "fax_number": "631-360-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SEQUOIA DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882630",
            "telephone_number": "631-265-8633",
            "fax_number": "631-360-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONDER",
        "first_name": "STEVEN",
        "middle_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "035746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frandia Blaise
• Lauren Blanco
• Robin L Bliss, MD
• Jennifer Blitz, PSY.D.
• Leah Block
• Natalie Mursteine Bodden, NP
• Body in Balance Physical Therapy
• Body in Balance Physical Therapy
• Body in Balance Physical Therapy PLLC
• Andrew Bogart, MD

• Endodontics in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.