Active NPI
Matthew David Blum, MD
- Otolaryngology Physician
- Ft. Washington, PA
National Provider Identifier
1962735506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD012252E
- Practice address
- 1218 Dillon Road
Ft. Washington, PA 19034 - Phone
- (215) 851-9700
- Fax
- (215) 851-9701
- NPI assigned
- Sep 15, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD012252E | PA | Primary |
Addresses
Primary practice location
1218 Dillon Road
Ft. Washington, PA 19034
Mailing address
1218 Dillon Road
Ft. Washington, PA 19034
Phone (215) 851-9700
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": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252972800000",
"number": "1962735506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 DILLON ROAD",
"city": "FT. WASHINGTON",
"state": "PA",
"postal_code": "19034",
"telephone_number": "215-851-9700",
"fax_number": "215-851-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 DILLON ROAD",
"city": "FT. WASHINGTON",
"state": "PA",
"postal_code": "19034",
"telephone_number": "215-851-9700",
"fax_number": "215-851-9701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "MATTHEW",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-15",
"last_updated": "2009-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MD012252E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft. Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.