Individual provider Active NPI

Jessica W Blume, MD

  • Allergy & Immunology Physician
  • Midland Park, NJ
National Provider Identifier
1295938579
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
25MA08064400 Issued in NJ
Practice address
44 Godwin Ave Ste 300
Midland Park, NJ 07432-1959
Phone
(201) 445-2900
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 231243-1 NY
Allergy & Immunology Physician 207K00000X 25MA08064400 NJ Primary

Addresses

Primary practice location

44 Godwin Ave Ste 300
Midland Park, NJ 07432-1959

Mailing address

44 Godwin Ave Ste 300
Midland Park, NJ 07432-1959
Phone (201) 445-2900

Other practice location 1

44 Godwin Ave Ste 300
Midland Park, NJ 07432-1959
Phone (201) 445-2900

Other names 1

  • Jessica W Feinhals Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120720000184 NJ Practitioner - Allergy/Immunology 3971679416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Weiss, M.D., P.a.Group PAC ID 0446236483, 18 clinicians

Practice addresses (Care Compare)

44 Route 23 N
Suite 6
Riverdale, NJ 07457-1603
Phone (973) 248-9199

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08064400NJMDAllergy & Immunology Physician
231243-1NYMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Weiss MD PA CurrentSince Aug 1, 2023 Accepting new patients
Sovereign Medical Group, LLC CurrentSince Jul 10, 2017 Accepting new patients
Sovereign Medical Group LLC CurrentSince Jul 10, 2017 Accepting new patients

Locations

44 Godwin Ave
Ste 300
Midland Park, NJ 07432
Phone (201) 301-0308

261 James St
Ste 1D
Morristown, NJ 07960
Phone (973) 267-3646

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

140 N State Rt 17
Ste 204
Paramus, NJ 07652
Phone (201) 523-9797

44 State Rt 23
Ste 6
Riverdale, NJ 07457
Phone (973) 248-9199

Interoperability endpoints

  • Direct secure messaging: jblume189442@ahs.direct-ci.com
  • Direct secure messaging: jessicablume@weiismedaa.allscriptsdirect.net

Organizations & group practices 3

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295938579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 GODWIN AVE STE 300",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321959",
            "telephone_number": "201-445-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 GODWIN AVE STE 300",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321959",
            "telephone_number": "201-445-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Godwin Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Midland Park",
            "state": "NJ",
            "postal_code": "074321959",
            "country_code": "US",
            "telephone_number": "201-445-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUME",
        "first_name": "JESSICA",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "231243-1",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA08064400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "FEINHALS",
            "middle_name": "W",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland Park, NJ

Sources for this page

Verify at the official NPI Registry.