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BETH BLAZEVICH APRN
NPI 1629171848
Nurse Practitioner - Neonatal in New London, CT

Active since September 06, 2006
365 MONTAUK AVE, NEW LONDON, CT 06320(860) 442-0711(860) 271-4224 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Beth Blazevich Aprn NPPES

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

BETH BLAZEVICH APRN (NPI 1629171848) is an individual neonatal provider in New London, Connecticut, licensed in Connecticut (000492) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1629171848
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameBETH BLAZEVICHCredential: APRN
Location Address365 MONTAUK AVENew London, CT 06320-4700
Mailing Address365 Montauk AveNew London, CT 06320-4700 · (860) 442-0711 · Fax (860) 271-4224
Phone(860) 442-0711
Fax(860) 271-4224
Sole ProprietorNo
Enumeration DateSeptember 6, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1629171848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in CT · 000492
365 MONTAUK AVE, New London, CT 06320
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINP15256
Medicaid4014679CT
Medicaid4024972CT

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN M PACHECO RN, CDE
Registered Nurse (Diabetes Educator)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-4737
THERESA M. BONANOMI
Social Worker (Clinical)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-5141
AMIT KHANNA MD
Family Medicine (Sleep Medicine)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
JOANN DONNEL LNM
Advanced Practice Midwife
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
SAMUEL MARYLES MD
Emergency Medicine
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (330) 493-4443
DR. PAUL CASINELLI M.D
Anesthesiology
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
MARIAM F. ABOUKAR D.O.
Psychiatry & Neurology (Psychiatry)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
MR. STEPHEN DANIEL SOCHA FNP-C
Nurse Practitioner (Family)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711

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 Beth Blazevich's NPI number?

The NPI number for Beth Blazevich is 1629171848. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Beth Blazevich located?

Beth Blazevich practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 442-0711.

What is Beth Blazevich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

When was this NPI record last updated?

The NPPES record for Beth Blazevich was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.