Active NPI
Daniel M Blumkin, MD
- Family Medicine Physician
- New York, NY
National Provider Identifier
1215955596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 127001
- Practice address
- 16 E 16TH St
New York, NY 10003-3105 - Phone
- (212) 924-7744
- Fax
- (212) 691-2786
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 127001 | NY | Primary |
Addresses
Primary practice location
16 E 16TH St
New York, NY 10003-3105
Mailing address
16 E 16TH St
New York, NY 10003-3105
Phone (212) 924-7744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223942400000",
"number": "1215955596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 E 16TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033105",
"telephone_number": "212-924-7744",
"fax_number": "212-691-2786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 E 16TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033105",
"telephone_number": "212-924-7744",
"fax_number": "212-691-2786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUMKIN",
"first_name": "DANIEL",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2008-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "127001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.