Jay Laurence Bloch, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MA49807 Issued in NJ

Practice address

2301 Evesham Road
Suite #508
Voorhees, NJ 08043-4506

Phone

(856) 651-0500

Fax

(856) 651-0700

NPI assigned

Jul 7, 2006

Sex

Male

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 NJ

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

State licenses

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.

• Clinical Health Care Associates of New Jersey, PC

  • Pulmonary Disease Physician
  • Cherry Hill, NJ
  • NPI 1508019241

  NJ, Urology

  Medicare reassignment NPD
• Clinical Health Care Associates of New Jersey, P.C.

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1447260435
  NPD
• Clinical Health Care Associates of New Jersey, PC

  • Hematology & Oncology Physician
  • Cherry Hill, NJ
  • NPI 1669485363
  NPD
• University of Penn-Medical Group

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1235527342
  NPD
• University of Penn-Medical Group

  • Urology Physician
  • Philadelphia, PA
  • NPI 1801284823

  Urology

  NPD
• University of Penn-Medical Group

  • Surgical Oncology Physician
  • Philadelphia, PA
  • NPI 1871981985
  NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1790717114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ROUTE 70 E",
            "address_2": "SUITE #508",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342413",
            "telephone_number": "856-651-0500",
            "fax_number": "856-651-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 EVESHAM ROAD",
            "address_2": "SUITE #508",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434506",
            "telephone_number": "856-651-0500",
            "fax_number": "856-651-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCH",
        "first_name": "JAY",
        "middle_name": "LAURENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "MA49807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3612201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noor Miriam Bittar, MD
• BJ'S Wholesale Club Inc.
• BJS Wholesale Club Inc
• Ruth Blackman, MA, CCC-SLP
• BLC-Brendenwood, LLC
• James J Bloor, DO
• Daniel Blum
• Susan R Blum
• Andrew M Blumenthal, DO
• Beth Allison Blumenthal, MD

• All providers in Voorhees, NJ
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.