KENNETH B BLATT (NPI# 1326078320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326078320 |
| Entity Type | Individual |
| Full Name | KENNETH B BLATT |
| Credential | M.D. |
| Practice Address |
2130 Millburn Ave Suite A8 Maplewood NJ 07040-3725 |
| Mailing Address |
4000 Route 66 Suite 131 Tinton Falls NJ 07753-7300 |
| Practice Telephone | 7323834166 |
| Practice Fax Number | 7323834171 |
| Mailing Telephone | 7323834166 |
| Mailing Fax Number | 7323834171 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2016-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
25MA07602800 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25MA07602800 | NJ | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
25MA07602800 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619030103 | Kenneth S Blatt | Psychiatry & Neurology | 500 Vine St, Capitol Region Mental Health Center, Hartford, CT 06112-1639 | 2006-12-18 |
| Street Address |
2130 MILLBURN AVE SUITE A8 |
| City | MAPLEWOOD |
| State | NJ |
| Zip Code | 07040-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720062227 | Michael Goldfarb | Internal Medicine | 2130 Millburn Ave, C6, Maplewood, NJ 07040-3725 | 2005-11-30 |
| 1306471016 | Reveal 2 Heal Consulting Services LLC | Counselor | 2130 Millburn Ave, Maplewood, NJ 07040-3725 | 2020-03-03 |
| 1508381930 | Helping Hand Disability Services | Case Management | 2130 Millburn Ave, Maplewood, NJ 07040-3725 | 2017-08-07 |
| 1942747159 | Chinarie Jones | Social Worker | 2130 Millburn Ave, Suite D-1, Maplewood, NJ 07040-3725 | 2017-01-25 |
| 1336699529 | Kira Baskerville-williams | Social Worker | 2130 Millburn Ave, Ste D-2, Maplewood, NJ 07040-3725 | 2016-10-11 |
| 1598215790 | Ruby Baskerville | Social Worker | 2130 Millburn Ave, Ste D-2, Maplewood, NJ 07040-3725 | 2016-10-11 |
| 1962863662 | Complete Kidney Care LLC | Specialist | 2130 Millburn Ave, Suite C11, Maplewood, NJ 07040-3725 | 2016-03-09 |
| 1174981948 | Aunjuli A. Hicks Lpc Limited Liability Company | Counselor | 2130 Millburn Ave, Ste C8, Maplewood, NJ 07040-3725 | 2016-02-08 |
| 1922473511 | Calloway Speech Language Services, LLC | Speech-Language Pathologist | 2130 Millburn Ave, Suite D-1, Maplewood, NJ 07040-3725 | 2015-12-08 |
| 1649640897 | Carolyn Davis-cottle | Social Worker | 2130 Millburn Ave, Maplewood, NJ 07040-3725 | 2015-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654462 | Ajibola G Alli | Counselor | 15 Hausmann Ct Fl 1, Maplewood, NJ 07040 | 2018-06-23 |
| 1487142980 | Monica Goodrich | Student in an Organized Health Care Education/Training Program | Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 | 2018-04-30 |
| 1487173795 | Jessica M Hodge | Marriage & Family Therapist | 35 Marie Place, Maplewood, NJ 07040 | 2017-09-18 |
| 1386173797 | Marianne Nadine Rubino | Social Worker | 111 Dunnell Road, Suite 201-8, Maplewood, NJ 07040 | 2017-06-08 |
| 1629504881 | Krishna Surapaneni | Pharmacist | 747 Irvington Avenue, Maplewood, NJ 07040 | 2017-05-10 |
| 1548717143 | Mindset Psychotherapy Center | Social Worker | 2040 Millburn Ave. Suite 205, Maplewood, NJ 07040 | 2016-09-01 |
| 1588010888 | Rochelle Laverne Brunson | Massage Therapist | 2130 Millburn Ave., Suite C8, Maplewood, NJ 07040 | 2016-05-05 |
| 1881082774 | Perry Grossman | Physical Medicine & Rehabilitation | 137 Parker Avenue, Maplewood, NJ 07040 | 2014-12-31 |
| 1124436746 | Karen Reckson | Specialist | 24 Beach Place, Maplewood, NJ 07040 | 2014-07-28 |
| 1427462670 | Appetite for Health | Dietitian, Registered | 94 Claremont Ave, Maplewood, NJ 07040 | 2014-06-16 |
| Find all providers in zip 07040 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164604146 | Maplewood Imaging Center LLC | Radiology | 2945 Hazelwood St Ste 110, Maplewood, MN 55109-1242 | 2007-11-30 |
| 1912952433 | Uvadee Chaibongsai | Radiology | 2130 Millburn Avenue, Maplewood, NJ 07040 | 2006-05-23 |
| 1033162177 | Minnesota Medical Scanning Corporation | Radiology | 1860 Beam Avenue, Maplewood, MN 55109 | 2006-05-18 |
| 1841240686 | Tore Detlie | Radiology | 918 Demont Ave E, Maplewood, MN 55109-1953 | 2006-05-11 |
| 1124056080 | Medical Scanning Consultants Pa | Radiology | 1860 Beam Avenue, Maplewood, MN 55109 | 2006-06-29 |
| 1710932918 | Sujata K. Jhaveri | Radiology | 2130 Millburn Avenue, Maplewood, NJ 07040 | 2006-05-24 |
| 1902851421 | Hillel J. Karp | Radiology | 2130 Millburn Avenue, Maplewood, NJ 07040 | 2006-05-23 |
| 1356396873 | Millburn Medical Imaging, Pa | Radiology | 2130 Millburn Avenue, Maplewood, NJ 07040 | 2006-05-23 |
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|---|---|---|---|---|
| 1902427297 | Universal Diagnostics Solutions | Radiology | 992 Clifton Ave Fl 1, Clifton, NJ 07013-3502 | 2020-04-28 |
| 1841826567 | Mercer Diagnostic Imaging, LLC | Radiology | 1245 Whitehorse Mercerville Rd Ste 403, Hamilton, NJ 08619-3831 | 2020-03-13 |
| 1225678352 | Jefferson University Radiology Associates, LLC | Radiology | 243 Hurffville Crosskeys Rd, Sewell, NJ 08080-4011 | 2020-01-07 |
| 1982240248 | Edison Medical Imaging | Radiology | 1907 Oak Tree Rd Ste 101, Edison, NJ 08820-2070 | 2019-11-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1891269254 | Middletown Radiology LLC | Radiology | 1270 Rte 35 Ste 3, Middletown, NJ 07748-2014 | 2019-01-17 |
| 1033689401 | Bay Imaging Consultants Medical Group Inc | Radiology | 54 Ettl Cir, Princeton, NJ 08540-2326 | 2018-11-28 |
| 1598240285 | Advanced Women Imaging Professional Association | Radiology | 560a 60th St, West New York, NJ 07093-1487 | 2018-09-27 |
| 1376034520 | Sonoview Imaging LLC | Radiology | 5600 Kennedy Blvd W Ste 108, West New York, NJ 07093-1256 | 2018-05-23 |
| 1215443866 | Atlantic Diagnostic Services, Ipa, LLC | Radiology | 110 South Jefferson Road, Suite 201, Whippany, NJ 07981 | 2017-12-19 |
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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.