Active NPIIndividual provider

Dr. Keith R Blicht, DPM

Podiatrist in Livingston, New Jersey

NPI Number1033147855
Practice location
114 W Mount Pleasant Ave, Livingston, NJ 07039-2932
Fax
973-994-1970
Last updated
November 16, 2010

Keith R Blicht is a Podiatrist based in Livingston, NJ. Keith R Blicht practices in Livingston, NJ and has the professional credentials of DPM. The NPI Number for Keith R Blicht is 1033147855 and holds a License No. 25MD00216600 (NJ). The current practice location address for Keith R Blicht is 114 W Mount Pleasant Ave, Livingston, NJ 07039-2932 and can be reached out via phone at 973-994-2323 and via fax at 973-994-1970.

Provider Profile Details

NPI Number
1033147855
Provider Name
Keith R Blicht
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
114 W Mount Pleasant Ave, Livingston, NJ 07039-2932
Phone Number
973-994-2323
Fax Number
973-994-1970
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
No
Provider Enumeration Date
June 29, 2006
Last Update Date
November 16, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
114 W Mount Pleasant Ave
Livingston, NJ 07039-2932
Zip
07039-2932
Phone Number
973-994-2323
Fax Number
973-994-1970
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
254 Walnut St
Newark, NJ 07105-1717
City
Newark
State
NJ
Zip
07105-1717
Phone Number
973-465-1717
Fax Number
973-465-0822

License Information

License Number
25MD00216600
License State
NJ
Taxonomy
Podiatrist · 213E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Podiatrists near Livingston, NJ

View all Podiatrists in Livingston →

Frequently Asked Questions

What is the NPI number of Dr. Keith R Blicht, DPM?

The NPI number of Dr. Keith R Blicht, DPM is 1033147855. It was assigned on June 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Keith R Blicht, DPM?

Dr. Keith R Blicht, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number 25MD00216600.

Where does Dr. Keith R Blicht, DPM practice?

The practice location is 114 W Mount Pleasant Ave, Livingston, NJ 07039-2932. The office can be reached at 973-994-2323 (phone) or 973-994-1970 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033147855 directly on the NPPES registry website.

Browse related providers