Active NPI
Lawrence Blitz, MD
- Cardiovascular Disease Physician
- Wayne, NJ
National Provider Identifier
1275596389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 65348
- Practice address
- 1777 Hamburg Tpke
Suite 102
Wayne, NJ 07470-5211 - Phone
- (973) 831-7455
- Fax
- (973) 831-7585
- NPI assigned
- Apr 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 65348 | NJ | Primary |
| Nuclear Cardiology Physician | 207UN0901X | 65348 | NJ |
Addresses
Primary practice location
1777 Hamburg Tpke
Suite 102
Wayne, NJ 07470-5211
Mailing address
1777 Hamburg Tpke
Suite 102
Wayne, NJ 07470-5211
Phone (973) 831-7455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7726805 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100406000513 | NJ | Practitioner - Cardiovascular Disease (Cardiology) | 2365527256 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- New York University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596
Hospital & facility affiliations
- Chilton Medical Center
- Morristown Medical Center
- Newton Medical Center
- Overlook Medical Center
- Ahs Hospital Corp
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 40 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65348 | NJ | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Health Consultants, P.a. | Current | Accepting new patients | |
| Practice Associates Medical Group | Current | Accepting new patients | |
| Maternal Fetal Medicine of Practice Associates, PA | Past | Accepting new patients |
Locations
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130
242 W Parkway
Ste 101
Pompton Plains, NJ 07444
97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000
1777 Hamburg Tpke
Ste 102
Wayne, NJ 07470
Phone (201) 831-9222
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Maternal & Fetal Medicine Physician
- Morristown, NJ
- NPI 1578613840
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1275596389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 HAMBURG TPKE",
"address_2": "SUITE 102",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705211",
"telephone_number": "973-831-7455",
"fax_number": "973-831-7585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 HAMBURG TPKE",
"address_2": "SUITE 102",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705211",
"telephone_number": "973-831-7455",
"fax_number": "973-831-7585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLITZ",
"first_name": "LAWRENCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "65348",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "NJ",
"license": "65348",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7726805",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.