Joseph Blustein, M.D. LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

2 Issued in WI

Legal business name

JOSEPH BLUSTEIN, M.D. LLC

Practice address

5555 Odana Rd
Madison, WI 53719-1240

Phone

(608) 257-1866

Fax

(888) 249-0658

NPI assigned

Aug 11, 2017

Last updated

Jun 16, 2018By 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

Joseph Blustein, M.D.NPI 1164427738

Title

President

Phone

(608) 257-1866

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph N Blustein, M.D., MPH

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Madison, WI
  • NPI 1164427738
  Authorized official Same address or phone

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1609391531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 TREVOR WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194663",
            "telephone_number": "608-345-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191240",
            "telephone_number": "608-257-1866",
            "fax_number": "888-249-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH BLUSTEIN, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BLUSTEIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-257-1866",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WI",
            "license": "2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim McCann Jorgensen, LCSW
• Lauren Marie Jorgensen
• Holly Jorgenson, LCSW, LPC
• Margaret Rose Jorgenson
• Roderick Carlton Jorgenson
• Christiam A Joseph, MSW, LCSW
• Craig Maurice Joseph, MD
• Maria Joseph
• Talia Hunter Joseph, OTD
• Devashish Sanjeev Joshi, MD

• Point of Service in Madison, WI
• Providers in Madison, WI by specialty
• Point of Service in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.