Lawrence R. Blum, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

188611 Issued in NY

Legal business name

LAWRENCE R. BLUM, M.D.

Practice address

572 Park Avenue
New York, NY 10065

Phone

(212) 751-8374

Fax

(212) 751-8379

NPI assigned

Sep 13, 2007

Last updated

Oct 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Varela

Title

Medical Biller

Phone

(212) 751-8374

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1548455470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 PARK AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "212-751-8374",
            "fax_number": "212-751-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 PARK AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "212-751-8374",
            "fax_number": "212-751-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE R. BLUM, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "VARELA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "212-751-8374",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "188611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01500678",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence J. Deutsch PHD.PC (Audionics)
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• Lawrence P. Kempf Medical Practice PC
• Lawrence S. Reed, MD, PC (The Reed Center)
• Lawrence Scharer, MD PC
• Lawrence Shaderowfsky MD PC
• Lawrence Shapiro P.T.
• Lawrence Shapiro PT P.C.

• Ophthalmology Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.