Active NPI
Miriam E Goldblum, MD
- Psychiatry Physician
- New York, NY
National Provider Identifier
1912496027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A181469
- Practice address
- 550 1St Ave
New York, NY 10016-6402 - Phone
- (646) 929-7800
- NPI assigned
- May 3, 2018
- Last updated
- Jan 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 300682 | NY | |
| Psychiatry Physician | 2084P0800X | A181469 | CA | Primary |
Addresses
Primary practice location
550 1St Ave
New York, NY 10016-6402
Mailing address
150 Saint Marks Ave Apt 2
Brooklyn, NY 11238-3424
Phone (310) 936-6441
Other practice location 1
10850 Wilshire Blvd
Los Angeles, CA 90024-4305
Phone (424) 268-0471
Other practice location 2
462 1st Ave
New York, NY 10016-9196
Phone (212) 562-4141
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190820003557 | NY | Order and Referring Only - Psychiatry | 2365770955 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A181469 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mgoldblum4171243@nychhc.direct-ci.com
- mgoldblum677327@nyumc.direct-ci.com
Organizations & group practices 1
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.
-
dba Bellevue Hospital Center
- General Acute Care Hospital
- New York, NY
- NPI 1073535027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1912496027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 SAINT MARKS AVE APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112383424",
"telephone_number": "310-936-6441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "646-929-7800"
}
],
"practiceLocations": [
{
"address_1": "10850 Wilshire Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900244305",
"country_code": "US",
"telephone_number": "424-268-0471",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "462 1st Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100169196",
"country_code": "US",
"telephone_number": "212-562-4141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDBLUM",
"first_name": "MIRIAM",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-03",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "300682",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A181469",
"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 Jan 16, 2026; 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.