DR. MARSHALL S. BLUM (NPI# 1508937061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508937061 |
| Entity Type | Individual |
| Full Name | DR. MARSHALL S. BLUM |
| Credential | D.M.D. |
| Practice Address |
317 Middle Country Road Suite 8 Smithtown NY 11787-2818 |
| Mailing Address |
317 E Main St Suite 8 Smithtown NY 11787-2818 |
| Practice Telephone | 6313617030 |
| Practice Fax Number | 6317241361 |
| Mailing Telephone | 6313617030 |
| Mailing Fax Number | 6317241361 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
027262 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00281618 | 05 | |
| DEA NUMBER | AB1765809 | 01 |
| Street Address |
317 MIDDLE COUNTRY ROAD SUITE 8 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881614295 | New York Physical and Occupational Therapy Pllc | Physical Therapist | 317 Middle Country Road, Suite # 3, Smithtown, NY 11787 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780183079 | Bryce Maxwell Ledner | Dentist | 496 Smithtown Byp Ste 300, Smithtown, NY 11787-5012 | 2018-02-01 |
| 1821317223 | Marc Scott Fenster | Dentist | 50 Route 111 Ste 212, Smithtown, NY 11787-3700 | 2010-05-25 |
| 1275710378 | Kevin Dipietrantonio | Dentist | 50 Landing Ave, Smithtown, NY 11787-2745 | 2008-01-31 |
| 1366652133 | Lee J Montes | Dentist | 684 Smithtown Byp, Smithtown, NY 11787-5003 | 2007-05-23 |
| 1205955523 | Nicholas Charles Laudati | Dentist | 265 N Country Rd, Smithtown, NY 11787-2141 | 2007-03-28 |
| 1568504850 | Steven Nathaniel Witt | Dentist | 143 Landing Ave, Smithtown, NY 11787 | 2007-02-13 |
| 1427116110 | Stanley Brottman | Dentist | 10 Morewood Drive, Smithtown, NY 11787-2303 | 2006-12-05 |
| 1548249873 | Timothy James Murphy IIi | Dentist | 285 Middle Country Rd, Suite Ll-7, Smithtown, NY 11787-2978 | 2006-01-13 |
| 1194722355 | Carl E Lavorata | Dentist | 1036 W Jericho Tpke, Smithtown, NY 11787-3208 | 2005-07-03 |
| 1316942600 | Paul Richard Leary | Dentist | 80 Maple Ave, Ste 206, Smithtown, NY 11787-3520 | 2005-06-15 |
| Find all providers in SMITHTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.