Sheldon P Blau, MD
Individual provider Active NPI Rheumatology Physician · Massapequa, NY
NPI 1376607267 · NPPES record last updated Aug 5, 2010
Key facts
- NPI
- 1376607267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 087639 (NY)
- Practice address
- 566 Broadway
Massapequa, NY 11758 - Phone
- (516) 541-6262
- Fax
- (516) 541-0011
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040512001439 | NY | Practitioner - Rheumatology |
6204826373 | Practice locations: Massapequa, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 087639 | NY | Yes |
Addresses
Primary practice location
566 Broadway
Massapequa, NY 11758
Mailing address
566 Broadway
Massapequa, NY 11758
Phone (516) 541-6262
Other providers in Massapequa, NY
- Biltmore Family Pharmacy Inc.
- Kaylamarie Bimonte
- Elizabeth Binckes
- Davese Deomi Black
- Greg Ross Blair
- Beth Heather Bloom
- Blue Sky Family Health Nurse Practitioner PLLC
- Mordecai Bluth
- Colleen Blyskal
- Diana Bocina
All providers in Massapequa, NY · Rheumatology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.