Active NPI
Clifford B Bleustein, MD
- Urology Physician
- Fair Lawn, NJ
National Provider Identifier
1124087523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 25MA07730700
- Practice address
- 15-01 Broadway, RT 4 West
Suites 1 & 3
Fair Lawn, NJ 07410 - Phone
- (201) 791-4544
- Fax
- (201) 791-6585
- NPI assigned
- Mar 23, 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 25MA07730700 | NJ | Primary |
Addresses
Primary practice location
15-01 Broadway, RT 4 West
Suites 1 & 3
Fair Lawn, NJ 07410
Mailing address
15-01 Broadway, RT 4 West
Suites 1 & 3
Fair Lawn, NJ 07410
Phone (201) 791-4544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0046078 | Medicaid | NJ |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apos US Management Inc | Current | Accepting new patients | |
| Urology Specialty Care PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Radiation Oncology Physician
- Hackensack, NJ
- NPI 1326330366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124087523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15-01 BROADWAY, RT 4 WEST",
"address_2": "SUITES 1 & 3",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "07410",
"telephone_number": "201-791-4544",
"fax_number": "201-791-6585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15-01 BROADWAY, RT 4 WEST",
"address_2": "SUITES 1 & 3",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "07410",
"telephone_number": "201-791-4544",
"fax_number": "201-791-6585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEUSTEIN",
"first_name": "CLIFFORD",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "25MA07730700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0046078",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, 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.