Individual provider Active NPI

Robert I Greenblatt, M.D.

  • Gastroenterology Physician
  • Union, NJ
National Provider Identifier
1861580433
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA04478800 Issued in NJ
Practice address
2333 Morris Ave
Suite B6
Union, NJ 07083-5752
Phone
(908) 964-1144
Fax
(908) 964-7646
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA04478800 NJ Primary

Addresses

Primary practice location

2333 Morris Ave
Suite B6
Union, NJ 07083-5752

Mailing address

2333 Morris Ave
Suite B6
Union, NJ 07083-5714
Phone (908) 964-1144

Other identifiers 1

IdentifierTypeStateIssuer
023-7001MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000110 NJ Practitioner - Gastroenterology 6305031766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Southern California Keck School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RF Ledon MD PCGroup PAC ID 6305909284, 18 clinicians

Practice addresses (Care Compare)

1308 Morris Ave
Union, NJ 07083-3328
Phone (908) 851-2770

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Merit-based Incentive Payment System (MIPS)

Final score
74.47 of 100Reported as group
Quality
63.5
Improvement activities
40
Cost
63.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy18
Upper gastrointestinal (GI) endoscopy for acid reflux35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04478800NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert I Greenblatt MD PA Gastroenterology CurrentSince Jun 14, 1989 Accepting new patients
RF Ledon M.D. P.C. Gastroenterology CurrentSince Jan 1, 2023 Accepting new patients
Morris Avenue Endoscopy LLC Current Accepting new patients
Morris Avenue Endoscopy LLC Current Accepting new patients
New Jersey Digestive Disease Associates, PC Gastroenterology Past Accepting new patients

Locations

1700 Galloping Hill Rd
Kenilworth, NJ 07033
Phone (908) 241-8900

515 N Wood Ave
Ste 202A
Linden, NJ 07036
Phone (908) 486-8080

116 Millburn Ave
Ste 211
Millburn, NJ 07041
Phone (973) 376-5155

1317 Morris Ave
Union, NJ 07083
Phone (908) 964-9370

2333 Morris Ave
Ste B6
Union, NJ 07083
Phone (908) 964-1144

1308 Morris Ave
Union, NJ 07083
Phone (908) 688-5577

1308 Morris Ave
Ste 102
Union, NJ 07083
Phone (908) 851-2770

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1861580433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE",
            "address_2": "SUITE B6",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835714",
            "telephone_number": "908-964-1144",
            "fax_number": "908-964-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE",
            "address_2": "SUITE B6",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835752",
            "telephone_number": "908-964-1144",
            "fax_number": "908-964-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBLATT",
        "first_name": "ROBERT",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA04478800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023-7001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.