Individual provider Active NPI

Pamela Naval-Blyden, MD

  • Pediatrics Physician
  • Phila, PA
National Provider Identifier
1750557278
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD069070L Issued in PA
Practice address
9122 Frankford Ave
Phila, PA 19114-2860
Phone
(215) 331-1516
NPI assigned
May 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD069070L PA Primary

Addresses

Primary practice location

9122 Frankford Ave
Phila, PA 19114-2860

Mailing address

101 E Olney Ave
Phila, PA 19120-2421

Other identifiers 1

IdentifierTypeStateIssuer
001913521MedicaidPA

Other names 1

  • Pamela Naval Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20041112000598 PA Practitioner - Pediatric Medicine 1557325230 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc CurrentSince Jan 22, 2011 Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Jan 22, 2011 Accepting new patients

Locations

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

101 E Olney Ave
Philadelphia, PA 19120
Phone (215) 456-1825

9122 Frankford Ave
Philadelphia, PA 19114
Phone (215) 331-1400

Interoperability endpoints

  • Direct secure messaging: pamela.naval-blyden@direct.einstein.edu

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1750557278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191202421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9122 FRANKFORD AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191142860",
            "telephone_number": "215-331-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVAL-BLYDEN",
        "first_name": "PAMELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD069070L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001913521",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "NAVAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.