Active NPI
Leslie Frances Blum, MD
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1295923837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 183548
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 034710 | CT | MD | Internal Medicine Physician |
| 183548 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Primary Care Clinic/Center
- New York, NY
- NPI 1134423981
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.