Individual provider Active NPI

Rebekah Blutstein, M.D.

  • Pediatrics Physician
  • Meadowbrook, PA
National Provider Identifier
1417306309
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD467509 Issued in PA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MD467509PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center City Pediatrics, LLC Pediatrics Current Accepting new patients
Meadowbrook Pediatrics Pediatrics PastSince Aug 2, 2020 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.