Active NPI
Matthew Beblowski
- Student in an Organized Health Care Education/Training Program
- Norfolk, VA
National Provider Identifier
1417700337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 735 Fairfax Ave., Suite 1017C P.O. Box 1980
Norfolk, VA 23501 - Phone
- (757) 446-6191
- Fax
- (757) 446-6195
- NPI assigned
- Apr 10, 2024
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
735 Fairfax Ave., Suite 1017C P.O. Box 1980
Norfolk, VA 23501
Mailing address
735 Fairfax Ave., Suite 1017C P.O. Box 1980
Norfolk, VA 23501
Phone (757) 446-6191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240911001767 | VA | Order and Referring Only - General Surgery | 3870033368 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1417700337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 FAIRFAX AVE., SUITE 1017C P.O. BOX 1980",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23501",
"telephone_number": "757-446-6191",
"fax_number": "757-446-6195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 FAIRFAX AVE., SUITE 1017C P.O. BOX 1980",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23501",
"telephone_number": "757-446-6191",
"fax_number": "757-446-6195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEBLOWSKI",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-10",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.