Active NPI
Joel G Bleier, MD
- Allergy Physician
- Medford, MA
National Provider Identifier
1912904624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 42472
- Practice address
- 1 City Hall Mall
Medford, MA 02155-4770 - Phone
- (781) 395-2922
- Fax
- (781) 393-8905
- NPI assigned
- Jul 7, 2005
- Last updated
- Jun 4, 2014
- 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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 42472 | MA | Primary |
Addresses
Primary practice location
1 City Hall Mall
Medford, MA 02155-4770
Mailing address
1 City Hall Mall
Medford, MA 02155-4770
Phone (781) 395-2922
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042763605 | Other | MA | MISC. HMO |
| 042472 | Other | MA | TUFTS HMO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42472 | MA | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Asthma Physicians PC | Allergy | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HFGCAA
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.
-
- Allergy Physician
- Stoneham, MA
- NPI 1326030206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1912904624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CITY HALL MALL",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554770",
"telephone_number": "781-395-2922",
"fax_number": "781-393-8905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CITY HALL MALL",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554770",
"telephone_number": "781-395-2922",
"fax_number": "781-393-8905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEIER",
"first_name": "JOEL",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "MA",
"license": "42472",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISC. HMO",
"identifier": "042763605",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HMO",
"identifier": "042472",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.