Individual provider Active NPI

Steven Blikstein

  • Pharmacist
  • Kearny, NJ
National Provider Identifier
1497301063
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04034500 Issued in NJ
Practice address
206 Bergen Ave Ste 204
Kearny, NJ 07032-3386
Phone
(201) 991-0800
NPI assigned
Aug 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04034500 NJ Primary

Addresses

Primary practice location

206 Bergen Ave Ste 204
Kearny, NJ 07032-3386

Mailing address

48 Arleigh Rd
Great Neck, NY 11021-1443
Phone (516) 270-6080

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28RI04034500NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Pharmacy Corp CurrentSince Oct 1, 2020 Accepting new patients

Locations

206 Bergen Ave
Ste 204
Kearny, NJ 07032
Phone (201) 991-0800

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.

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1497301063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ARLEIGH RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211443",
            "telephone_number": "516-270-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BERGEN AVE STE 204",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323386",
            "telephone_number": "201-991-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIKSTEIN",
        "first_name": "STEVEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04034500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.