Active NPI
Debra Lent Bloch, C.N.M.
- Advanced Practice Midwife
- Airmont, NY
National Provider Identifier
1306113030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- F000869-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02161237 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F000869-1 | NY | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refuah Health Center Inc | Current | Accepting new patients | |
| Refuah Health Center, Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Spring Valley, NY
- NPI 1669470019
-
- Advanced Practice Midwife
- Airmont, NY
- NPI 1619199361
-
- Federally Qualified Health Center (FQHC)
- Liberty, NY
- NPI 1942903588
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.