Active NPI
David Greenblatt, M.D.
- Radiation Oncology Physician
- Ridgewood, NJ
National Provider Identifier
1063465490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 25MA04850800
- Practice address
- 223 N Van Dien Ave
Ridgewood, NJ 07450-2726 - Phone
- (201) 634-5403
- Fax
- (201) 634-5765
- NPI assigned
- May 18, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 25MA04850800 | NJ | Primary |
Addresses
Primary practice location
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Mailing address
1 Lethbridge PLZ
Route 17 North, Suite #20
Mahwah, NJ 07430-2126
Phone (201) 684-1616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0971804 | Medicaid | NJ | |
| 01907657 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04850800 | NJ | MD | Radiation Oncology Physician |
| 194220 | NY | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Specialty Care PA | Radiation Oncology | Past | Accepting new patients |
| Metropolitan Specialty Physicians | Radiation Oncology | Past | Accepting new patients |
| Advanced Radiation Oncology Services of Queens | Radiation Oncology | Past | Accepting new patients |
| Premier Radiation Oncology of Nassau, PC | Radiation Oncology | Past | Accepting new patients |
| Valley Radiation Oncology Assoc PA | Radiation Oncology | Past | Accepting new patients |
| Bayonne Radiation Oncology Associates, LLC | Radiation Oncology | Past | Accepting new patients |
| Catskill Radiation Oncology Consultants, PLLC | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063465490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LETHBRIDGE PLZ",
"address_2": "ROUTE 17 NORTH, SUITE #20",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074302126",
"telephone_number": "201-684-1616",
"fax_number": "201-684-1661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 N VAN DIEN AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074502726",
"telephone_number": "201-634-5403",
"fax_number": "201-634-5765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBLATT",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NJ",
"license": "25MA04850800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0971804",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01907657",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.