Individual provider Active NPI

Leslie Frances Blum, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1295923837
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
183548 Issued in NY
Practice address
557 Broadway
Scholastic Wellness Center
New York, NY 10012-3962
Phone
(212) 343-4920
Fax
(212) 343-4939
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 183548 NY Primary
Internal Medicine Physician 207R00000X 034710 CT

Addresses

Primary practice location

557 Broadway
Scholastic Wellness Center
New York, NY 10012-3962

Mailing address

32 Chestnut Ridge Rd
Armonk, NY 10504-3001
Phone (914) 273-1268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
034710CTMDInternal Medicine Physician
183548NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Offices of Occupational Health Resources PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1295923837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CHESTNUT RIDGE RD",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105043001",
            "telephone_number": "914-273-1268",
            "fax_number": "914-273-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 BROADWAY",
            "address_2": "SCHOLASTIC WELLNESS CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123962",
            "telephone_number": "212-343-4920",
            "fax_number": "212-343-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "LESLIE",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "183548",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "034710",
            "primary": false
        }
    ],
    "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 Jun 14, 2013; 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.