Selftest Inc.

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

168917 Issued in NY

Legal business name

SELFTEST INC.

Practice address

18 Beach Ave
Northport, NY 11768-2803

Phone

(631) 754-8576

NPI assigned

Jan 28, 2017

Organization subpart

No

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

Authorized official

Name

Richard Stephen Blume, MDNPI 1548979404

Title

President

Phone

(631) 754-8576

Specialties & licenses 1

Addresses

Practitioners 1

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

• Richard Stephen Blume, MD

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Melville, NY
  • NPI 1548979404
  NPD (past) Authorized official

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

{
    "created_epoch": "1485561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485561600000",
    "number": "1730626748",
    "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": "631-754-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 BEACH AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682803",
            "telephone_number": "631-754-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELFTEST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-28",
        "last_updated": "2017-01-28",
        "status": "A",
        "authorized_official_last_name": "BLUME",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-754-8576",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NY",
            "license": "168917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Ann Schumejda, N.P.
• Deborah Marlene Schwarzmuller, RD
• Joseph Claudio Scoleri, PHARM.D.
• Amy Scott, PSY.D.
• Robert E Scully, MD
• Ashley Elizabeth Selkirk, PHD
• Grace Eunjoo Seo, RPH
• Christie Serigano, DDS
• Frank Hail Serigano, RPAC
• Cynthia Abigail Serrano-Colon, NP

• Preventive Medicine/Occupational Environmental Medicine Physician in Northport, NY
• Providers in Northport, 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 Jan 28, 2017; 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.