MR. MATTHEW GREGG BLUM (NPI# 1932477494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932477494 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW GREGG BLUM |
| Credential | LMSW |
| Practice Address |
777 Seaview Ave Building #2 Staten Island NY 10305-3409 |
| Practice Telephone | 7183515530 |
| Practice Fax Number | 7183515639 |
| Mailing Telephone | 7183515530 |
| Mailing Fax Number | 7183515639 |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 13-4182492 | NY | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 058031-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962735506 | Matthew David Blum | Otolaryngology | 1218 Dillon Road, Ft. Washington, PA 19034 | 2009-09-15 |
| 1558892372 | Matthew Blum | Student in an Organized Health Care Education/Training Program | 1830 E Monument St Ste 416, Baltimore, MD 21287-0020 | 2017-03-23 |
| 1659348480 | Matthew Blum | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 525 N Foote Ave, Suite 302, Colorado Springs, CO 80909-4501 | 2006-03-01 |
| Street Address |
777 SEAVIEW AVE BUILDING #2 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396729919 | Matthew Schwartz | Psychiatry & Neurology | 777 Seaview Ave, Building 10, Staten Island, NY 10305-3436 | 2005-12-06 |
| 1922607795 | Bena Doris Ojeh | Registered Nurse | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-10-22 |
| 1104425974 | Joseph Russo | Registered Nurse | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-10-22 |
| 1891302915 | Divya Jose | Registered Nurse | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-09-24 |
| 1215540893 | Christie Eden Refano | Social Worker | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-08-25 |
| 1326663287 | Ralph Daniel Alunan | Registered Nurse | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-06-16 |
| 1518589365 | Renu Stephen | Registered Nurse | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-05-15 |
| 1750902565 | Marie Feaser | Registered Nurse | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-05-04 |
| 1457972473 | Melanie Raz | Nurse Practitioner | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-04-30 |
| 1649890385 | Jihan Chen | Counselor | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305031 | Samuel Steinberg | Counselor | 623 Laconia Ave Apt G, Staten Island, NY 10306-5260 | 2020-10-28 |
| 1497216295 | Wendy Ruffin | Counselor | 690 Castleton Ave Ste 2, Staten Island, NY 10310-1818 | 2019-03-26 |
| 1053883017 | Rita Marasa | Counselor | 7 Sunset Ln, Staten Island, NY 10307-1990 | 2018-12-31 |
| 1780155499 | Tamara Mohammed | Counselor | 120 Great Kills Rd, Staten Island, NY 10308-2937 | 2018-12-07 |
| 1770079063 | Nadia Di Lemme | Counselor | 768 Correll Ave, Staten Island, NY 10309-4255 | 2018-07-10 |
| 1558853911 | Jennifer Taylor | Counselor | 48 Carol Pl, Staten Island, NY 10303-2124 | 2018-06-01 |
| 1548752983 | Lawan Rickenbacker | Counselor | 28 Treadwell Ave, Staten Island, NY 10302 | 2018-06-01 |
| 1487172904 | Melissa Alter | Counselor | 31 Regent Circle, Staten Island, NY 10312 | 2017-09-05 |
| 1831551845 | Jennifer Kraus | Counselor | 45 Boulder St, Staten Island, NY 10312-2227 | 2016-03-28 |
| 1154788974 | Eileen Patricia Cameron | Counselor | 263-267 Port Richmond Aveune, Staten Island, NY 10302 | 2016-01-25 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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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.