Active NPI
Nissa Blocher, MD
- Endocrinology, Diabetes & Metabolism Physician
- Elkins Park, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD425968
- Practice address
- 50 E. Township Line Road
Suite G01
Elkins Park, PA 19027 - Phone
- (215) 572-5200
- Fax
- (215) 572-6456
- NPI assigned
- Dec 15, 2006
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD425968 | PA | Primary |
Addresses
Primary practice location
50 E. Township Line Road
Suite G01
Elkins Park, PA 19027
Mailing address
50 E. Township Line Road
Medical Arts Building - Suite G01
Elkins Park, PA 19027
Phone (215) 572-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- University of Arizona College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5401 Old York Rd
Philadelphia, PA 19141-3030
Phone (215) 456-6950
Hospital & facility affiliations
- Jefferson Einstein Philadelphia Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD425968 | PA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan, Inc | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Past | Accepting new patients |
Locations
60 Township Line Rd
Elkins Park, PA 19027
Phone (215) 663-6000
50 Township Line Rd
Bldg 2ND
Elkins Park, PA 19027
Phone (215) 663-6067
5401 Old York Rd
Ste 331
Philadelphia, PA 19141
Phone (215) 456-6948
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630
5753 Wayne Ave
Philadelphia, PA 19144
Phone (215) 848-8800
5401 Old York Rd
Philadelphia, PA 19141
Phone (215) 456-7150
Interoperability endpoints
- nissa.blocher@direct.einstein.edu
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
- Endocrinology, Diabetes & Metabolism Physician
- Philadelphia, PA
- NPI 1538211552
-
- Surgery Physician
- Philadelphia, PA
- NPI 1992761621
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426464000000",
"number": "1427110436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 E. TOWNSHIP LINE ROAD",
"address_2": "MEDICAL ARTS BUILDING - SUITE G01",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "19027",
"telephone_number": "215-572-5200",
"fax_number": "215-572-6456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E. TOWNSHIP LINE ROAD",
"address_2": "SUITE G01",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "19027",
"telephone_number": "215-572-5200",
"fax_number": "215-572-6456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCHER",
"first_name": "NISSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2015-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MD425968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.