Ellen Blye, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

141907 Issued in NY

Practice address

123 W 86TH St
New York, NY 10024-3419

Phone

(212) 877-2833

Fax

(212) 362-7080

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Weill Medical College of Cornell

  • Internal Medicine Physician
  • New York, NY
  • NPI 1124170212
  Medicare reassignment NPD
• Weill Medical College of Cornell

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1144729385
  NPD
• Weill Medical College of Cornell

  • Rheumatology Physician
  • Brooklyn, NY
  • NPI 1619364957
  NPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598745600000",
    "number": "1750451845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243419",
            "telephone_number": "212-877-2833",
            "fax_number": "212-362-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243419",
            "telephone_number": "212-877-2833",
            "fax_number": "212-362-7080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 Martin Point Rd",
            "address_purpose": "LOCATION",
            "city": "Friendship",
            "state": "ME",
            "postal_code": "045474328",
            "country_code": "US",
            "telephone_number": "917-862-6205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLYE",
        "first_name": "ELLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "141907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00867976",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ahna Marisa Blutreich
• Salomon Blutreich, MD
• Mitchell J Blutt, M.D.
• Judith Susana Bluvstein, M.D.
• Victoria Bluvstein
• Michelle Blyth, MD
• Morgan Leighanne Blythe, LMSW
• Natalie Blyznak
• Bma Acupuncture
• BN Medicine PC

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.