Active NPI
Ronald J Blitzer, M.D.
- Ophthalmology Physician
- Rahway, NJ
National Provider Identifier
1295824480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA02116000
- Practice address
- 1530 Saint Georges Ave
Rahway, NJ 07065-2750 - Phone
- (732) 382-7473
- Fax
- (732) 382-9045
- NPI assigned
- Oct 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25MA02116000 | NJ | Primary |
Addresses
Primary practice location
1530 Saint Georges Ave
Rahway, NJ 07065-2750
Mailing address
1530 Saint Georges Ave
Rahway, NJ 07065-2750
Phone (732) 382-7473
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2K5446 | Other | NJ | HEALTHNET |
| 474A42 | Other | NJ | WELLCHOICE/ EMPIRE BC/BS |
| P00091849 | Other | NJ | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 25MA02116000 | NJ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Eye Physicians & Surgeons of N.J., P.a. | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Union, NJ
- NPI 1912094079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295824480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 SAINT GEORGES AVE",
"city": "RAHWAY",
"state": "NJ",
"postal_code": "070652750",
"telephone_number": "732-382-7473",
"fax_number": "732-382-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 SAINT GEORGES AVE",
"city": "RAHWAY",
"state": "NJ",
"postal_code": "070652750",
"telephone_number": "732-382-7473",
"fax_number": "732-382-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLITZER",
"first_name": "RONALD",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA02116000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2K5446",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCHOICE/ EMPIRE BC/BS",
"identifier": "474A42",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00091849",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rahway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.