Kenneth B Blatt, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25MA07602800 Issued in NJ

Practice address

2130 Millburn Ave
Suite A8
Maplewood, NJ 07040-3725

Phone

(732) 383-4166

Fax

(732) 383-4171

NPI assigned

Jul 4, 2006

Last updated

Mar 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Jersey Shore Imaging LLCGroup PAC ID 1355408212, 148 clinicians

University Radiology at Cooper LLCGroup PAC ID 4587053699, 78 clinicians

University Radiology at Trinitas LLCGroup PAC ID 9133174634, 126 clinicians

University Radiology-Atlantic, LLCGroup PAC ID 6901059864, 144 clinicians

University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160
• Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
• Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
• Richmond University Medical Center Hospital, Staten Island, NY, CCN 330028
• Community Medical Center Hospital, Toms River, NJ, CCN 310041

Merit-based Incentive Payment System (MIPS)

Final score

96.21 of 100Reported as group

Quality

95.54

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

88.88 of 100Reported as group

Quality

85.63

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

89.93 of 100Reported as group

Quality

95.96

Improvement activities

40

Cost

73.85

Merit-based Incentive Payment System (MIPS)

Final score

96.51 of 100Reported as group

Quality

95.9

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

93.28 of 100Reported as group

Quality

86.64

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: kblatt68476@northwell.direct-ci.com
• Direct secure messaging: kenneth.blatt@direct.hobokenumc.md

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.

• Jersey Shore Imaging, LLC

  • Diagnostic Radiology Physician
  • Neptune, NJ
  • NPI 1538304019
  Medicare reassignment Care Compare group NPD
• University Radiology at Cooper, LLC

  • Diagnostic Radiology Physician
  • Cherry Hill, NJ
  • NPI 1669056248
  Medicare reassignment Care Compare group NPD
• University Radiology at Trinitas, LLC

  • Radiology Clinic/Center
  • Elizabeth, NJ
  • NPI 1366526279

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• University Radiology-Atlantic, LLC

  • Diagnostic Radiology Physician
  • Tinton Falls, NJ
  • NPI 1477802064
  Medicare reassignment Care Compare group NPD
• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  NJ

  Medicare reassignment Care Compare group NPD
• University Radiology Group, LLC

  • Diagnostic Radiology Physician
  • East Brunswick, NJ
  • NPI 1154367803
  Medicare reassignment Care Compare group
• Rwjuh Imaging at Plum Street, LLC

  • Diagnostic Radiology Physician
  • New Brunswick, NJ
  • NPI 1710131677

  Body Imaging

  Medicare reassignment NPD
• Southside Faculty Medical Affiliates University Faculty Practice Corp

  • Body Imaging Physician
  • Seaford, NY
  • NPI 1033791058

  NJ

  Medicare reassignment NPD
• Humc Opco LLC

  dba Hoboken University Hospital

  • General Acute Care Hospital
  • Hoboken, NJ
  • NPI 1043475668
  NPD
• Pinnacle MRI Group, LLC

  • Radiology Clinic/Center
  • Elmwood Park, NJ
  • NPI 1548546492
  NPD
• Pdi Health PA LLC

  • Mobile Radiology Clinic/Center
  • Reading, PA
  • NPI 1326863085
  NPD
• Pdihealth MD LLC

  dba Preventive Diagnostics Inc

  • Mobile Radiology Clinic/Center
  • Columbia, MD
  • NPI 1184285678
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Medical Center Inc

  • General Acute Care Hospital
  • Toms River, NJ
  • NPI 1013010917
  Care Compare affiliation
• HMH Hospitals Corporation

  dba HMH Behavioral Health Home

  • Clinic/Center
  • Neptune, NJ
  • NPI 1053880286

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  dba Jersey Shore University Medical Center

  • General Acute Care Hospital
  • Neptune, NJ
  • NPI 1790297547
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Hackensack Meridian Diagnostic Laboratory

  • Clinical Medical Laboratory
  • Neptune City, NJ
  • NPI 1962128496

  Hospital

  Care Compare affiliation
• Robert Wood Johnson University Hospital, Inc

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1346243375
  Care Compare affiliation
• Richmond Medical Center

  • General Acute Care Hospital
  • Staten Island, NY
  • NPI 1740389154
  Care Compare affiliation
• Staten Island University Hospital

  • General Acute Care Hospital
  • Staten Island, NY
  • NPI 1407877137
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1326078320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 ROUTE 66",
            "address_2": "SUITE 131",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077537300",
            "telephone_number": "732-383-4166",
            "fax_number": "732-383-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 MILLBURN AVE",
            "address_2": "SUITE A8",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403725",
            "telephone_number": "732-383-4166",
            "fax_number": "732-383-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATT",
        "first_name": "KENNETH",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NJ",
            "license": "25MA07602800",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07602800",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NJ",
            "license": "25MA07602800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nishith Bhattacharyya, MD
• Jacqueline Bilikiewicz, LMHC
• Bill Powell, MSW, PA
• Christian A Blackwell
• Zoe E. Blanchard, MSW, LSW
• Peter Blumenthal, MD, MPH
• Susannah Bochner, FNP
• Allison Bonanno, MS NUTRITION
• Julia Boneberg
• Laura Christine Booker, LCSW

• Diagnostic Radiology Physician in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.

Verify at the official NPI Registry.