Active NPIIndividual providerSole proprietor

Andrew Blitzer, MD

Specialist in Hackensack, New Jersey

NPI Number1114023520
Practice location
20 Prospect Ave Ste 613, Hackensack, NJ 07601-1962
Fax
212-523-8165
Last updated
January 31, 2024

Andrew Blitzer is a Specialist based in Hackensack, NJ. Andrew Blitzer practices in Hackensack, NJ and has the professional credentials of MD. The NPI Number for Andrew Blitzer is 1114023520 and holds a License No. W23126514C (NJ). The current practice location address for Andrew Blitzer is 20 Prospect Ave Ste 613, Hackensack, NJ 07601-1962 and can be reached out via phone at 212-262-4444 and via fax at 212-523-8165.

Provider Profile Details

NPI Number
1114023520
Provider Name
Andrew Blitzer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
20 Prospect Ave Ste 613, Hackensack, NJ 07601-1962
Phone Number
212-262-4444
Fax Number
212-523-8165
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
September 15, 2006
Last Update Date
January 31, 2024
Certification Date
January 31, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Prospect Ave Ste 613
Hackensack, NJ 07601-1962
Zip
07601-1962
Phone Number
212-262-4444
Fax Number
212-523-8165
Hackensack, NJ 07601Get directions →

Provider Business Mailing Address Details

Address
20 Prospect Ave Ste 613
Hackensack, NJ 07601-1962
City
Hackensack
State
NJ
Zip
07601-1962
Phone Number
212-262-9500

License Information

License Number (1)
W23126514C
License State (1)
NJ
Taxonomy (1)
Otolaryngology · 207Y00000X
License Number (2)
120296
License State (2)
NY
Taxonomy (2)
Otolaryngology · 207Y00000X
License Number (3)
120296
License State (3)
NY
Taxonomy (3)
Specialist · 174400000X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Andrew Blitzer, MD?

The NPI number of Andrew Blitzer, MD is 1114023520. It was assigned on September 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Andrew Blitzer, MD?

Andrew Blitzer, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number W23126514C.

Where does Andrew Blitzer, MD practice?

The practice location is 20 Prospect Ave Ste 613, Hackensack, NJ 07601-1962. The office can be reached at 212-262-4444 (phone) or 212-523-8165 (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 1114023520 directly on the NPPES registry website.

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