Individual provider Active NPI

Ronald I. Deblinger, D.M.D.

  • Endodontics
  • Clifton, NJ
National Provider Identifier
1629163399
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
10997 Issued in NJ
Practice address
1001 Clifton Ave
Suite 1a
Clifton, NJ 07013-3586
Phone
(973) 773-6050
Fax
(973) 773-3520
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 10997 NJ Primary

Addresses

Primary practice location

1001 Clifton Ave
Suite 1a
Clifton, NJ 07013-3586

Mailing address

1001 Clifton Ave
Suite 1a
Clifton, NJ 07013-3586
Phone (973) 773-6050

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151102000868 NJ Order and Referring Only - DentistPractitioner - Dentist 1658681747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10997NJMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontic Associates of Clifton Endodontics Past Accepting new patients
Clifton Endodontics Endodontics 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629163399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CLIFTON AVE",
            "address_2": "SUITE 1A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133586",
            "telephone_number": "973-773-6050",
            "fax_number": "973-773-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CLIFTON AVE",
            "address_2": "SUITE 1A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133586",
            "telephone_number": "973-773-6050",
            "fax_number": "973-773-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBLINGER",
        "first_name": "RONALD",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "10997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.