Richard Stephen Blume, MD

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

168917 Issued in NY

Practice address

105 Maxess Rd Ste 300
Melville, NY 11747-3847

Phone

(631) 897-8324

NPI assigned

Nov 21, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Selftest Inc.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Northport, NY
  • NPI 1730626748
  NPD (past) Authorized official

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1548979404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BEACH AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682803",
            "telephone_number": "631-897-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAXESS RD STE 300",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473847",
            "telephone_number": "631-897-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUME",
        "first_name": "RICHARD",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NY",
            "license": "168917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rb3625@outlook.com",
            "affiliation": "N",
            "address_1": "105 Maxess Rd Ste 300",
            "city": "Melville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117473847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Anne Blau, MA, CCC/SLP
• Marissa Lynn Blau, PA
• George Andrew Blednick, PHD
• Joel Block, PH.D.
• Stacey L Blumberg, M.S. CCC-SLP
• Marilyn Blumenthal, PHD
• Stephanie Bodon, LMSW
• Bodyfirst Physical Therapy P.C.
• Tara Boland
• Heather M Bolanos, MS SLP

• Preventive Medicine/Occupational Environmental Medicine Physician in Melville, NY
• Providers in Melville, NY by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.