Kenneth R Blank, MD
Healthcare Provider in Pompton Plains, New Jersey
1205864964- Practice location
- 97 W Parkway, Pompton Plains, NJ 07444-1647
- Phone
- 973-831-5306
- Fax
- 973-831-5305
- Last updated
- August 9, 2021
Kenneth Robert Blank is a Healthcare Provider based in Pompton Plains, NJ. Kenneth Robert Blank practices in Pompton Plains, NJ and has the professional credentials of MD. The NPI Number for Kenneth Robert Blank is 1205864964 and holds a License No. 25MA06871100 (NJ). The current practice location address for Kenneth Robert Blank is 97 W Parkway, Pompton Plains, NJ 07444-1647 and can be reached out via phone at 973-831-5306 and via fax at 973-831-5305.
Provider Profile Details
- NPI Number
- 1205864964
- Provider Name
- Kenneth Robert Blank
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 97 W Parkway, Pompton Plains, NJ 07444-1647
- Phone Number
- 973-831-5306
- Fax Number
- 973-831-5305
- Primary Taxonomy
- Healthcare Provider · 2085R0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 29, 2006
- Last Update Date
- August 9, 2021
- Certification Date
- August 9, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 97 W Parkway
Pompton Plains, NJ 07444-1647 - City
- Pompton Plains
- State
- New Jersey
- Zip
- 07444-1647
- Phone Number
- 973-831-5306
- Fax Number
- 973-831-5305
Provider Business Mailing Address Details
- Address
- Po Box 416457
Boston, MA 02241-6457 - City
- Boston
- State
- MA
- Zip
- 02241-6457
- Phone Number
- 844-362-1735
- Fax Number
- 973-290-7495
License Information
- License Number
- 25MA06871100
- License State
- NJ
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Kenneth R Blank, MD?
The NPI number of Kenneth R Blank, MD is 1205864964. It was assigned on June 29, 2006 and is currently active in the NPPES registry.
What is the specialty of Kenneth R Blank, MD?
Kenneth R Blank, MD is registered under the primary taxonomy Healthcare Provider (code 2085R0001X), licensed in NJ under license number 25MA06871100.
Where does Kenneth R Blank, MD practice?
The practice location is 97 W Parkway, Pompton Plains, NJ 07444-1647. The office can be reached at 973-831-5306 (phone) or 973-831-5305 (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 1205864964 directly on the NPPES registry website.