Active NPI
Neal M. Blitz, DPM
- Foot & Ankle Surgery Podiatrist
- New York, NY
National Provider Identifier
1982788972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N005575
- Practice address
- 120 E 56TH St
Suite 800
New York, NY 10022-3607 - Phone
- (212) 776-4250
- NPI assigned
- Oct 25, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N005575 | NY | Primary |
| Podiatrist | 213E00000X | E4423 | CA |
Addresses
Primary practice location
120 E 56TH St
Suite 800
New York, NY 10022-3607
Mailing address
120 E 56TH St
Suite 800
New York, NY 10022-3607
Phone (212) 776-4250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 20, 2017 through Nov 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005575 | NY | MD | Optometrist |
| E4423 | CA | MD | Podiatrist |
| N005575 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blitz Footcare Ca PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Beverly Hills Golden Surgery Center | Current | Accepting new patients | |
| Neal Michael Blitz DPM | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
435 N Roxbury Dr
Ph
Beverly Hills, CA 90210
Phone (212) 776-4250
800A 5th Ave
Ste 403
New York, NY 10065
Phone (212) 421-7546
Interoperability endpoints
- nblitz69065@northwell.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- New York, NY
- NPI 1851283758
-
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
- NPI 1811466824
-
- Foot & Ankle Surgery Podiatrist
- Beverly Hills, CA
- NPI 1649162447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1982788972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 E 56TH ST",
"address_2": "SUITE 800",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100223607",
"telephone_number": "212-776-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E 56TH ST",
"address_2": "SUITE 800",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100223607",
"telephone_number": "212-776-4250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLITZ",
"first_name": "NEAL",
"middle_name": "M.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N005575",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E4423",
"primary": false
}
],
"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 27, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.