Active NPIIndividual providerSole proprietor

Dr. Kenneth M Blumberg, DDS

Dentist, Endodontics in Livingston, New Jersey

NPI Number1619096401
Practice location
74 Rockledge Dr, Livingston, NJ 07039-1124
Fax
—
Last updated
July 8, 2007

Kenneth Mark Blumberg is a Dentist, Endodontics based in Livingston, NJ. Kenneth Mark Blumberg practices in Livingston, NJ and has the professional credentials of DDS. The NPI Number for Kenneth Mark Blumberg is 1619096401 and holds a License No. 22DI00861600 (NJ). The current practice location address for Kenneth Mark Blumberg is 74 Rockledge Dr, Livingston, NJ 07039-1124 and can be reached out via phone at 973-454-9009.

Provider Profile Details

NPI Number
1619096401
Provider Name
Kenneth Mark Blumberg
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
74 Rockledge Dr, Livingston, NJ 07039-1124
Phone Number
973-454-9009
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Sole Proprietor
Yes
Provider Enumeration Date
March 29, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
74 Rockledge Dr
Livingston, NJ 07039-1124
Zip
07039-1124
Phone Number
973-454-9009
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
74 Rockledge Dr
Livingston, NJ 07039-1124
City
Livingston
State
NJ
Zip
07039-1124
Phone Number
973-454-9009

License Information

License Number
22DI00861600
License State
NJ
Taxonomy
Dentist, Endodontics · 1223E0200X · 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. Kenneth M Blumberg, DDS?

The NPI number of Dr. Kenneth M Blumberg, DDS is 1619096401. It was assigned on March 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth M Blumberg, DDS?

Dr. Kenneth M Blumberg, DDS is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in NJ under license number 22DI00861600.

Where does Dr. Kenneth M Blumberg, DDS practice?

The practice location is 74 Rockledge Dr, Livingston, NJ 07039-1124. The office can be reached at 973-454-9009 (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 1619096401 directly on the NPPES registry website.

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