Individual provider Active NPI

Isabel S Blumberg, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1821183989
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
216565 Issued in NY
Practice address
1125 Park Ave
New York, NY 10128-1241
Phone
(917) 492-9200
Fax
(917) 492-8129
NPI assigned
Oct 4, 2006
Last updated
Oct 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2165651 NY
Obstetrics & Gynecology Physician 207V00000X 216565 NY Primary

Addresses

Primary practice location

1125 Park Ave
New York, NY 10128-1241

Mailing address

1125 Park Ave
New York, NY 10128-1241
Phone (917) 492-9200

Other names 1

  • Isabel S Epstein Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 6, 2021 through Jul 6, 2027

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Icahn School of Medicine at Mount Sinai, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1123 Park Ave
New York, NY 10128-1241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2165651NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brasner Blumberg & Amaru MD LLP Obstetrics & Gynecology PastSince Apr 4, 2018 Accepting new patients
Peter B. Liebert, M.D., P.C. Past Accepting new patients

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, 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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1821183989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281241",
            "telephone_number": "917-492-9200",
            "fax_number": "917-492-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281241",
            "telephone_number": "917-492-9200",
            "fax_number": "917-492-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMBERG",
        "first_name": "ISABEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "2165651",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "216565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABEL",
            "last_name": "EPSTEIN",
            "middle_name": "S",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.