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ROBIN R. BLUM M.D., PC
NPI 1497020614
Dermatology in New York, NY

Active since March 21, 2012
200 CENTRAL PARK S, SUITE 108, NEW YORK, NY 10019(646) 576-5711(212) 477-2885 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Robin R. Blum M.d., Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBIN R. BLUM M.D., PC (NPI 1497020614) is a healthcare organization registered as a dermatology in New York, New York and active in the NPI registry since March 2012. The organization lists Robin R Blum, Owner, as its authorized official.

NPPES Registry Identity

NPI1497020614
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameROBIN R. BLUM M.D., PC
Location Address200 CENTRAL PARK S, SUITE 108New York, NY 10019-1436
Mailing Address200 Central Park S, Suite 108New York, NY 10019-1436 · (646) 576-5711 · Fax (212) 477-2885
Phone(646) 576-5711
Fax(212) 477-2885
Organization SubpartNo
Authorized OfficialRobin R BlumOwner · (646) 576-5711
Enumeration DateMarch 21, 2012
✔ NPI 1497020614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 225731
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
200 CENTRAL PARK S, New York, NY 10019
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robin R. Blum M.d., Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20120615000419Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Robin R. Blum M.D., PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robin Blum, M.D.
Dermatology
NPI 1083823363
200 CPS SUITE 108
New York, NY 10019
(212) 969-9655
✔ PECOS✔ Accepts Medicare1.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robin R. Blum M.D., PC's NPI number?

The NPI number for Robin R. Blum M.D., PC is 1497020614. It was assigned to this organization in the NPPES registry on March 21, 2012.

Where is Robin R. Blum M.D., PC located?

Robin R. Blum M.D., PC is located at 200 Central Park S Suite 108, New York, NY 10019. The listed phone number is (646) 576-5711.

What is Robin R. Blum M.D., PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Robin R. Blum M.D., PC enrolled in Medicare?

Yes. Robin R. Blum M.D., PC is registered in the Medicare PECOS enrollment system.

When is Robin R. Blum M.D., PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Robin R. Blum M.D., PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Robin R. Blum M.D., PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Robin R. Blum M.D., PC was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.