Active NPI
Garry Bleuma
- Registered Nurse
- Uniondale, NY
National Provider Identifier
1639713829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 770436
- Practice address
- 411 Lenox Ave
Uniondale, NY 11553-1859 - Phone
- (516) 787-7123
- NPI assigned
- Oct 31, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 770436 | NY | MD | Registered Nurse |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 770436 | NY | Primary |
Addresses
Primary practice location
411 Lenox Ave
Uniondale, NY 11553-1859
Mailing address
411 Lenox Ave
Uniondale, NY 11553-1859
Phone (516) 787-7123
NPI Registry JSON
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1639713829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 LENOX AVE",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115531859",
"telephone_number": "516-787-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 LENOX AVE",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115531859",
"telephone_number": "516-787-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEUMA",
"first_name": "GARRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-31",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "770436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Uniondale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.