Active NPI
Rebekah Blutstein, M.D.
- Pediatrics Physician
- Meadowbrook, PA
National Provider Identifier
1417306309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD467509
- Practice address
- 1650 Huntingdon Pike Ste 320
Meadowbrook, PA 19046-8074 - Phone
- (215) 947-1447
- Fax
- (215) 947-2603
- NPI assigned
- Jun 10, 2016
- Last updated
- Jun 21, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD467509 | PA | Primary |
Addresses
Primary practice location
1650 Huntingdon Pike Ste 320
Meadowbrook, PA 19046-8074
Mailing address
33 Rock Hill Rd Ste 170
Bala Cynwyd, PA 19004-2051
Phone (610) 257-9000
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD467509 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center City Pediatrics, LLC | Pediatrics | Current | Accepting new patients |
| Meadowbrook Pediatrics | Pediatrics | Past | Accepting new patients |
Locations
1740 South St
Ste 200
Philadelphia, PA 19146
Phone (215) 568-4080
2365 E York St
Philadelphia, PA 19125
Interoperability endpoints
- rebekahblutstein@ccpp.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1871767970
-
- Pediatrics Physician
- Meadowbrook, PA
- NPI 1922052067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1417306309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 ROCK HILL RD STE 170",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042051",
"telephone_number": "610-257-9000",
"fax_number": "215-735-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 HUNTINGDON PIKE STE 320",
"city": "MEADOWBROOK",
"state": "PA",
"postal_code": "190468074",
"telephone_number": "215-947-1447",
"fax_number": "215-947-2603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUTSTEIN",
"first_name": "REBEKAH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-10",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD467509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meadowbrook, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.