Robert Michael Blumm, RPA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

003934 Issued in NY

Practice address

69 Robbins Ave
Amityville, NY 11701-3505

Phone

(631) 598-1081

NPI assigned

Apr 7, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stephen U. Harris, MD PLLC

  • Plastic and Reconstructive Surgery Physician
  • West Islip, NY
  • NPI 1558405662
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295798817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ROBBINS AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ROBBINS AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013505",
            "telephone_number": "631-598-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMM",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "003934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Renee Binford, N.P.
• Michelle Bivens
• BK Goyal MD PC
• Laurna Blackwood, LPN
• Devin Blaine, LAC
• Christine Joanne Bogle-Austein, LMSW
• Lauren Bonica, MHC-LP
• Tanisha Akyra Bowen
• Kathy Sheron Brady, L.P.N.
• Pamela Braglia, NP

• Surgical Physician Assistant in Amityville, NY
• Providers in Amityville, NY by specialty
• Surgical Physician Assistant 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.