Active NPI
Larwence Blum
- Durable Medical Equipment & Medical Supplies
- Richmond Hill, NY
National Provider Identifier
1366620577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 188611
- Legal business name
- LARWENCE BLUM
- Practice address
- 11624 Metropolitan Ave
Richmond Hill, NY 11418-1031 - Phone
- (718) 847-2020
- Fax
- (718) 847-9457
- NPI assigned
- Feb 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Larwence R Blum, M.D.
- Title
- Ophthalmologist
- Phone
- (718) 847-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 188611 | NY | Primary |
Addresses
Primary practice location
11624 Metropolitan Ave
Richmond Hill, NY 11418-1031
Mailing address
11624 Metropolitan Ave
Richmond Hill, NY 11418-1031
Phone (718) 847-2020
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784160000000",
"number": "1366620577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11624 METROPOLITAN AVE",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114181031",
"telephone_number": "718-847-2020",
"fax_number": "718-847-9457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11624 METROPOLITAN AVE",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114181031",
"telephone_number": "718-847-2020",
"fax_number": "718-847-9457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARWENCE BLUM",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-11",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A",
"authorized_official_last_name": "BLUM",
"authorized_official_first_name": "LARWENCE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OPHTHALMOLOGIST",
"authorized_official_telephone_number": "718-847-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "188611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.