Robert A. Blozen Jr., D.C.
Individual provider Active NPI Chiropractor · Holmdel, NJ
NPI 1043384233 · NPPES record last updated Sep 29, 2008
Key facts
- NPI
- 1043384233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 38MC00308000 (NJ)
- Practice address
- 2124 State Route 35
Holmdel, NJ 07733-1084 - Phone
- (732) 671-7277
- Fax
- (732) 671-5952
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Jersey Sports Chiropractic and Physical Therapy
Practice addresses (Care Compare)
2124 State Route 35
Holmdel, NJ 07733-1084
Phone (732) 671-7277
436 State Route 79
Suite 21
Morganville, NJ 07751-9797
Phone (432) 617-8000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090403000414 | NJ | Practitioner - Chiropractic | 2961559166 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00308000 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blozen Chiropractic PC | Chiropractor | Current |
Accepting new patients |
Locations
2124 State Route 35
Holmdel, NJ 07733
Phone (732) 671-7277
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00308000 | NJ | Yes |
Addresses
Primary practice location
2124 State Route 35
Holmdel, NJ 07733-1084
Mailing address
2124 State Route 35
Holmdel, NJ 07733-1084
Phone (732) 671-7277
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1108701 | Medicaid | NJ |
Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.