Active NPIIndividual providerSole proprietor

Dr. Sergey Blintsovskiy, MD

Internal Medicine in Newark, New Jersey

NPI Number1538459235
Practice location
150 Bergen St, Umdnj-Njms Department Of Medicine, Room I-248, Newark, NJ 07103-2496
Fax
—
Last updated
April 15, 2015

Sergey Blintsovskiy is an Internal Medicine based in Newark, NJ. Sergey Blintsovskiy practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Sergey Blintsovskiy is 1538459235 and holds a License No. 25MA09569100 (NJ). The current practice location address for Sergey Blintsovskiy is 150 Bergen St, Umdnj-Njms Department Of Medicine, Room I-248, Newark, NJ 07103-2496 and can be reached out via phone at 973-972-6056.

Provider Profile Details

NPI Number
1538459235
Provider Name
Sergey Blintsovskiy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
150 Bergen St, Umdnj-Njms Department Of Medicine, Room I-248, Newark, NJ 07103-2496
Phone Number
973-972-6056
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 14, 2011
Last Update Date
April 15, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Bergen St
Umdnj-Njms Department Of Medicine, Room I-248
Newark, NJ 07103-2496
City
Newark
Zip
07103-2496
Phone Number
973-972-6056
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
150 Bergen St
Umdnj-Njms Department Of Medicine, Room I-248
Newark, NJ 07103-2496
City
Newark
State
NJ
Zip
07103-2496

License Information

License Number
25MA09569100
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · 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 Dr. Sergey Blintsovskiy, MD?

The NPI number of Dr. Sergey Blintsovskiy, MD is 1538459235. It was assigned on April 14, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Sergey Blintsovskiy, MD?

Dr. Sergey Blintsovskiy, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA09569100.

Where does Dr. Sergey Blintsovskiy, MD practice?

The practice location is 150 Bergen St, Umdnj-Njms Department Of Medicine, Room I-248, Newark, NJ 07103-2496. The office can be reached at 973-972-6056 (phone).

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 1538459235 directly on the NPPES registry website.

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