Heath Blonder, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

229728 Issued in NY

Practice address

110 Willis Ave
Mineola, NY 11501-2620

Phone

(516) 294-0030

Fax

(516) 294-4708

NPI assigned

Aug 12, 2006

Last updated

Oct 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

New York College of Osteo Medicine of New York Institute of Technology, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sedation Vacation Perioperative Medicine PLLCGroup PAC ID 1759658594, 86 clinicians

Randn Anesthesia PLLCGroup PAC ID 2062737794, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• R&N Anesthesia PLLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1447657275
  Medicare reassignment Care Compare group NPD
• Sedation Vacation Perioperative Medicine PLLC

  • Specialist
  • Valley Stream, NY
  • NPI 1891235404
  Medicare reassignment Care Compare group NPD
• Centurion Brooklyn Anesthesia PLLC

  • Sleep Medicine (Internal Medicine) Physician
  • Valley Stream, NY
  • NPI 1457757072
  Medicare reassignment NPD
• Centurion Midtown Anesthesia PLLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1750087854
  Medicare reassignment NPD
• Glacier Cryo Medical P.C

  • Anesthesiology Physician
  • New York, NY
  • NPI 1689889974
  Medicare reassignment NPD
• Great South Bay Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • East Patchogue, NY
  • NPI 1366864514
  Medicare reassignment NPD
• North Shore - Lij Anesthesiology, PC

  • Anesthesiology Physician
  • Chappaqua, NY
  • NPI 1417401266
  Medicare reassignment NPD
• Ambi Medical Associates, PC

  • Anesthesiology Physician
  • Mineola, NY
  • NPI 1376599092
  NPD (past)
• Melville SC LLC

  dba Melville Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Melville, NY
  • NPI 1538276688
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1396757985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117620270",
            "telephone_number": "631-264-2035",
            "fax_number": "631-264-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WILLIS AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012620",
            "telephone_number": "516-294-0030",
            "fax_number": "516-294-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONDER",
        "first_name": "HEATH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "229728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02800397",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirk A. Bingaman, PH.D.
• John J Biordi, M.D.
• Gillian Theresa Blaber, MS
• Seth Robert Blacksburg, M.D.
• Sharon Blasi, RN
• Evan Bloom, MD
• Michelle Emily Bloom, MD
• Gregg David Blumberg, DO
• Donna F Blumenthal, MS, CGC
• Seth Blustein

• Anesthesiology Physician in Mineola, NY
• Providers in Mineola, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.