Individual provider Active NPI

Reuven Blobstein, M.D.

  • Pediatrics Physician
  • Flushing, NY
National Provider Identifier
1770014813
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
303012-01 Issued in NY
Practice address
4500 Parsons Blvd
Flushing, NY 11355-2205
Phone
(718) 670-5000
NPI assigned
Mar 21, 2017
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 303012-01 NY
Pediatrics Physician 208000000X 303012-01 NY Primary

Addresses

Primary practice location

4500 Parsons Blvd
Flushing, NY 11355-2205

Mailing address

450 Clarkson Ave
Box 49
Brooklyn, NY 11203-2012
Phone (718) 270-2078

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200922002585 NY Practitioner - General PracticePractitioner - Pediatric MedicinePractitioner - Emergency Medicine 5799103875 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gmzy Health Management LLCGroup PAC ID 5395262935, 5 clinicians

Practice addresses (Care Compare)

745 State Route 17M
Monroe, NY 10950-2660
Phone (845) 782-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303012-01NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Nov 14, 2024 Accepting new patients
Express Pediatrics Pediatrics CurrentSince Sep 1, 2025 Accepting new patients
Physicians Medical Associates New York PC Emergency Medicine Current Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Nov 24, 2020 Accepting new patients
Physicians Medical Associates New York PC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Flushing Hospital & Medical Center CurrentSince May 12, 2020 Accepting new patients
Flushing Hospital Medical Center CurrentSince May 12, 2020 Accepting new patients
Gmzy Health Management LLC CurrentSince Oct 30, 2025 Accepting new patients
Pediatric Care Pediatrics Current Accepting new patients
KJ Medical Practice PC Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

745 State Route 17M
Monroe, NY 10950
Phone (718) 470-3661

745 State Route 17M
Ste 104
Monroe, NY 10950
Phone (845) 561-8060

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

26 Firemens Memorial Dr
Ste 120
Pomona, NY 10970
Phone (845) 362-5900

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1770014813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 49",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552205",
            "telephone_number": "718-670-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOBSTEIN",
        "first_name": "REUVEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "303012-01",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "303012-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.