Active NPI
Harvey Bluth, MD
- Dermatology Physician
- Brooklyn, NY
National Provider Identifier
1801965108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 126744
- Practice address
- 5700 Ave N
Brooklyn, NY 11234 - Phone
- (718) 252-7070
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 126744 | NY | Primary |
Addresses
Primary practice location
5700 Ave N
Brooklyn, NY 11234
Mailing address
PO Box 340350
5700 Ave N
Brooklyn, NY 11234
Phone (718) 252-7070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00236411 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801965108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 340350",
"address_2": "5700 AVE N",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11234",
"telephone_number": "718-252-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 AVE N",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11234",
"telephone_number": "718-252-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUTH",
"first_name": "HARVEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "126744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00236411",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.