Individual provider Active NPI

Nissa Blocher, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Elkins Park, PA
National Provider Identifier
1427110436
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD425968 Issued in PA
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

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070806000055 PA Practitioner - Endocrinology 8628169786 Reassigns benefits to 1 organization

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
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

5401 Old York Rd
Philadelphia, PA 19141-3030
Phone (215) 456-6950

Hospital & facility affiliations

  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD425968PAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc Current Accepting new patients
Einstein Practice Plan, Inc Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2007 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2007 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.