Active NPI
Neil D Bluebond, D.O.
- Obstetrics & Gynecology Physician
- Browns Mills, NJ
National Provider Identifier
1417064973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- OS004744L
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010067890005 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OS003291L | PA | MD | Obstetrics & Gynecology Physician |
| OS004744L | PA | MD | Obstetrics & 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.