Gershwin T Blyden MD PA

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

0048415 Issued in FL

Legal business name

GERSHWIN T BLYDEN MD PA

Practice address

8335 NE 2ND Ave
Miami, FL 33138-3810

Phone

(305) 757-0113

Fax

(305) 756-7485

NPI assigned

Oct 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Gershwin BlydenNPI 1851344014

Title

M D

Phone

(305) 757-0113

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gershwin Theophilus Blyden, M.D.

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1851344014
  Medicare reassignment NPD Authorized official
• Sherrie Lenise Bullard, M.D.

  • Dermatology Physician
  • Weston, FL
  • NPI 1043207293
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1497065882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331383810",
            "telephone_number": "305-757-0113",
            "fax_number": "305-756-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331383810",
            "telephone_number": "305-757-0113",
            "fax_number": "305-756-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERSHWIN T BLYDEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "BLYDEN",
        "authorized_official_first_name": "GERSHWIN",
        "authorized_official_title_or_position": "M D",
        "authorized_official_telephone_number": "305-757-0113",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "0048415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044049300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Gershbein, D.P.M.
• Hayley Beth Gershengorn, MD
• Bradley Gershkowitz, MD
• Neil H. Gershman, M.D.
• Alina Gershonov
• Eferildia Stella Gerson, ARNP
• Myriam Gerstein, LCSW
• Janet K Gersten, M.D.
• Christian Gerstenkorn, ATC
• Jochen Gerstner Saucedo, MD

• Hematology & Oncology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.