Vicki Sara Blumberg, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

028371 Issued in CT

Practice address

203 Oscaleta Rd
Ridgefield, CT 06877-3612

Phone

(203) 856-8360

NPI assigned

Jan 19, 2012

Last updated

Jan 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Vicki Sara Blumberg, MD

  • Internal Medicine Physician
  • Danbury, CT
  • NPI 1841220126
  NPD (past) Authorized official
• Awais Malik MD Family Medicine, LLC

  • Family Medicine Physician
  • Milford, CT
  • NPI 1881939858
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1922379296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 OSCALETA RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773612",
            "telephone_number": "203-856-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 OSCALETA RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773612",
            "telephone_number": "203-856-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMBERG",
        "first_name": "VICKI",
        "middle_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "028371",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G5052",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Marie Bessette, PH.D.
• Christian E Bilius
• Susan Blair Bliss, PH.D.
• Justine M Block, SLP
• Cassidy Ann Bluhm, RN, BSN, CBC
• Megan Songul Bodeur, PT
• Alex Boianghu
• Carol Fares Boland, APRN
• Debra Ann Bossio, N.D.
• Patricia K Bragdon, LCSW

• Internal Medicine Physician in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.