Active NPI
Scott Jeffry Blutstein, DPM
- Primary Podiatric Medicine Podiatrist
- Port St Lucie, FL
National Provider Identifier
1396205423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- P01419
- Practice address
- 10578 SW Capraia Way
Port St Lucie, FL 34986-2885 - Phone
- (917) 923-1067
- NPI assigned
- Mar 24, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | P01419 | FL | Primary |
Addresses
Primary practice location
10578 SW Capraia Way
Port St Lucie, FL 34986-2885
Mailing address
10578 SW Capraia Way
Port St Lucie, FL 34986-2885
Phone (917) 923-1067
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | blutsteindpm@aol.com | ||
| CONNECT URL | blutsteindpm@aol.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P01419 | FL | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553385600000",
"number": "1396205423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10578 SW CAPRAIA WAY",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349862885",
"telephone_number": "917-923-1067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10578 SW CAPRAIA WAY",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349862885",
"telephone_number": "917-923-1067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUTSTEIN",
"first_name": "SCOTT",
"middle_name": "JEFFRY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-24",
"last_updated": "2019-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "FL",
"license": "P01419",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "blutsteindpm@aol.com",
"affiliation": "N",
"address_1": "10578 SW Capraia Way",
"city": "Port St Lucie",
"state": "FL",
"country_code": "US",
"postal_code": "349862885",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "blutsteindpm@aol.com",
"affiliation": "N",
"endpointDescription": "Home address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "10578 SW Capraia Way",
"city": "Port St Lucie",
"state": "FL",
"country_code": "US",
"postal_code": "349862885",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Port St Lucie, FL
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- Kimberly Blum, PA-C
- Monique Blum, RD/LDN
- BNG Enterprises, Inc. (Care Connect Transport)
- Tammy Rena Boatright
- Megan Bock
- Jenny Paola Bodden Martinez, MS, BS
- Patricia Malvoisin Boddie, M.S., LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.