Active NPI
Ofra Blonder, MD
- Physical Medicine & Rehabilitation Physician
- New York, NY
National Provider Identifier
1861692899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 169838
- Practice address
- 240 East 69TH Street
New York, NY 10021 - Phone
- (212) 472-1717
- Fax
- (212) 472-6103
- NPI assigned
- Jul 18, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 169838 | NY | Primary |
Addresses
Primary practice location
240 East 69TH Street
New York, NY 10021
Mailing address
240 East 69TH Street
New York, NY 10021
Phone (212) 472-1717
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": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1861692899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 EAST 69TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-472-1717",
"fax_number": "212-472-6103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 EAST 69TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-472-1717",
"fax_number": "212-472-6103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLONDER",
"first_name": "OFRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "169838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.