Active NPI
Ahna Marisa Blutreich
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 25MA11657900
- Practice address
- 504 Grand St
Apt G44
New York, NY 10002 - Phone
- (646) 591-9629
- NPI assigned
- May 21, 2008
- Last updated
- Apr 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 243539 | NY | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 25MA11657900 | NJ | Primary |
Addresses
Primary practice location
504 Grand St
Apt G44
New York, NY 10002
Mailing address
504 Grand St
Apt G44
New York, NY 10002-4182
Phone (646) 591-9629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Robert Wood Johnson PL
Robert Wood Johnson University Hosp
New Brunswick, NJ 08901-1928
Phone (732) 828-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11657900 | NJ | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Current | Accepting new patients | |
| Bronxcare Health System | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Wyckoff Professional Medical Services, PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Bronxcare Health System | Current | Accepting new patients |
Locations
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
71 Prospect Ave
Ste 210
Hudson, NY 12534
Phone (518) 828-2565
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1245390855
Anatomic Pathology & Clinical Pathology
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
Anatomic Pathology & Clinical Pathology
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
-
dba AMC Department of Pathology
- Anatomic Pathology Physician
- Albany, NY
- NPI 1124486329
-
dba Albany Med EmUrgent Care
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
dba Albany Medical College Dept of Surgery
- General Practice Physician
- Albany, NY
- NPI 1548290455
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Newark Beth Israel Medical Center
- General Acute Care Hospital
- Newark, NJ
- NPI 1215027966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1285891887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 GRAND ST",
"address_2": "APT G44",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100024182",
"telephone_number": "646-591-9629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 GRAND ST",
"address_2": "APT G44",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10002",
"telephone_number": "646-591-9629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUTREICH",
"first_name": "AHNA",
"middle_name": "MARISA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "243539",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NJ",
"license": "25MA11657900",
"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 Apr 29, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.