Individual provider Active NPI

Debra Lent Bloch, C.N.M.

  • Advanced Practice Midwife
  • Airmont, NY
National Provider Identifier
1306113030
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F000869-1 Issued in NY
Practice address
16 Park Ave
Airmont, NY 10952-4507
Phone
(845) 356-3545
Fax
(845) 356-3445
NPI assigned
Nov 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F000869-1 NY Primary

Addresses

Primary practice location

16 Park Ave
Airmont, NY 10952-4507

Mailing address

16 Park Ave
Airmont, NY 10952-4507
Phone (845) 356-3545

Other identifiers 1

IdentifierTypeStateIssuer
02161237MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181210002862 NY Practitioner - Certified Nurse Midwife (CNM) 1254675796 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F000869-1NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Refuah Health Center Inc CurrentSince Nov 27, 2018 Accepting new patients
Refuah Health Center, Inc. CurrentSince Nov 27, 2018 Accepting new patients
Midwifery Care of Monsey, PC Advanced Practice Midwife Past Accepting new patients

Locations

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1306113030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PARK AVE",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109524507",
            "telephone_number": "845-356-3545",
            "fax_number": "845-356-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PARK AVE",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109524507",
            "telephone_number": "845-356-3545",
            "fax_number": "845-356-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCH",
        "first_name": "DEBRA",
        "middle_name": "LENT",
        "name_prefix": "Ms.",
        "credential": "C.N.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F000869-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02161237",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Airmont, NY

Sources for this page

Verify at the official NPI Registry.