Individual provider Active NPI

Neil D Bluebond, D.O.

  • Obstetrics & Gynecology Physician
  • Browns Mills, NJ
National Provider Identifier
1417064973
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS004744L Issued in PA
Practice address
6 Earlin Ave
Ste 290
Browns Mills, NJ 08015
Phone
(609) 537-7200
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS004744L PA Primary

Addresses

Primary practice location

6 Earlin Ave
Ste 290
Browns Mills, NJ 08015

Mailing address

6 Earlin Ave Ste 290
Browns Mills, NJ 08015-1780
Phone (609) 537-7200

Other practice location 1

540 North Woodbourne Road
Suite 1
langhorne, PA 19047
Phone (215) 750-6611

Other identifiers 1

IdentifierTypeStateIssuer
0010067890005MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address neil.bluebond.1@12833.direct.athenahealth.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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS003291LPAMDObstetrics & Gynecology Physician
OS004744LPAMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1417064973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EARLIN AVE STE 290",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080151780",
            "telephone_number": "609-537-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EARLIN AVE",
            "address_2": "STE 290",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "08015",
            "telephone_number": "609-537-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 North Woodbourne Road",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "langhorne",
            "state": "PA",
            "postal_code": "19047",
            "country_code": "US",
            "telephone_number": "215-750-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUEBOND",
        "first_name": "NEIL",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS004744L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010067890005",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "neil.bluebond.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6 Earlin Ave",
            "address_2": "Ste 290",
            "city": "Browns Mills",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Browns Mills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.