Active NPI 1497864458 Individual Practitioner Male Practitioner

Dr. Jeffrey D Blonstein , MD

Radiology - Diagnostic Radiology • Millburn, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Blonstein, MD is a certified Radiology - Diagnostic Radiology practicing in Millburn, NJ. With approximately 48 years of clinical experience since graduating from Albany Medical College Of Union University in 1978, Dr. Blonstein delivers high-quality medical care to the local community at 120 MILLBURN AVE.

Dr. Blonstein maintains professional affiliations with Center For Advanced Imaging Llc, Radiologic Associates Of Northern New Jersey, Pa, 95 Madison Imaging Center At Morristown Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include dxa bone density measurement of hip, pelvis, spine, screening digital tomography of both breasts, screening mammography. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

120 Millburn Ave
Suite 101

Millburn, NJ 07041

Telephone 9733760900

Fax 9733760010

Associated Practice Facility / Clinic

🏢 Millburn Primary Care Llc Facility NPI 1033194600

Medicare Profile & Education

Medical School

Albany Medical College Of Union University

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Diagnostic Radiology in Millburn, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs -7.0 yrs vs City Avg

City Avg: 55.0 Yrs

State Avg: 30.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Millburn, NJ (1165 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blonstein (48 Years) 48 Yrs

Millburn Specialty Average (55.0 Years) 55.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77080 Dxa bone density measurement of hip, pelvis, spine	1,054	1,052	$692.00	$43.50
77063 Screening digital tomography of both breasts	647	647	$349.00	$57.17
77067 Screening mammography	644	644	$497.00	$143.32
71046 X-ray of chest, 2 views	206	203	$126.50	$37.72
76641 Complete ultrasound scan of 1 breast	113	113	$929.20	$168.41
76981 Elastography ultrasound of organ tissue	69	68	$700.00	$113.14
76982 Ultrasound scan of growth for measuring elasticity, first growth	55	54	$620.00	$66.89
76536 Ultrasound of head and neck	50	50	$700.00	$124.97
76700 Ultrasound of abdomen	47	46	$1200.00	$129.72
74018 X-ray of abdomen, 1 view	43	41	$227.14	$34.07
73030 X-ray of shoulder, minimum of 2 views	36	33	$442.00	$39.54
73630 X-ray of foot, minimum of 3 views	34	30	$420.00	$38.84
73564 X-ray of knee, 4 or more views	30	23	$420.00	$53.61
76770 Complete ultrasound scan behind abdominal cavity	25	25	$585.00	$120.27
72110 X-ray of lower and sacral spine, minimum of 4 views	24	24	$649.00	$58.80
76857 Limited ultrasound scan of pelvis	23	23	$300.00	$52.10
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	23	21	$900.00	$299.96
73610 X-ray of ankle, minimum of 3 views	21	15	$324.00	$41.50
76856 Complete ultrasound scan of pelvis	21	19	$850.00	$118.68
72050 X-ray of upper spine, 4 or 5 views	18	18	$382.00	$60.70
76830 Ultrasound pelvis through vagina	15	14	$1000.00	$134.76
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	12	$1148.00	$208.77
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$730.00	$135.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77080 Dxa bone density measurement of hip, pelvis, spine	929	928	$692.00	$43.82
77063 Screening digital tomography of both breasts	605	605	$349.00	$59.60
77067 Screening mammography	604	604	$497.00	$148.58
71046 X-ray of chest, 2 views	258	256	$110.61	$38.84
76641 Complete ultrasound scan of 1 breast	99	99	$944.44	$174.10
74018 X-ray of abdomen, 1 view	35	35	$225.00	$34.74
76981 Elastography ultrasound of organ tissue	35	35	$700.00	$118.32
76982 Ultrasound scan of growth for measuring elasticity, first growth	32	32	$620.00	$68.23
73030 X-ray of shoulder, minimum of 2 views	32	32	$442.00	$40.30
72110 X-ray of lower and sacral spine, minimum of 4 views	15	15	$649.00	$59.65
73630 X-ray of foot, minimum of 3 views	14	12	$420.00	$39.92
71100 X-ray of ribs of one side of body, 2 views	14	13	$167.36	$42.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71046 X-ray of chest, 2 views	1,362	1,346	$94.45	$41.02
77080 Dxa bone density measurement of hip, pelvis, spine	686	685	$689.09	$43.63
77063 Screening digital tomography of both breasts	334	334	$349.00	$60.30
77067 Screening mammography	331	331	$497.00	$152.07
71100 X-ray of ribs of one side of body, 2 views	82	81	$100.00	$45.22
73030 X-ray of shoulder, minimum of 2 views	58	53	$180.93	$42.62
73630 X-ray of foot, minimum of 3 views	43	37	$182.09	$42.55
76641 Complete ultrasound scan of 1 breast	39	38	$974.36	$178.23
76700 Ultrasound of abdomen	22	21	$1031.27	$141.11
73080 X-ray of elbow, minimum of 3 views	20	20	$119.70	$40.18
72110 X-ray of lower and sacral spine, minimum of 4 views	20	20	$576.10	$61.68
71110 X-ray of both sides of the ribs, 3 views	19	19	$119.00	$54.17
73502 X-ray of hip, 2-3 views	15	15	$232.33	$56.93
72070 X-ray of middle spine, 2 views	14	14	$125.57	$38.08
73110 X-ray of wrist, minimum of 3 views	14	14	$205.36	$51.09
73610 X-ray of ankle, minimum of 3 views	12	12	$155.25	$45.62
91200 Measurement of liver stiffness	11	11	$700.00	$36.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77063 Screening digital tomography of both breasts	574	574	$349.00	$63.04
77067 Screening mammography	566	566	$497.00	$156.65
77080 Dxa bone density measurement of hip, pelvis, spine	522	521	$692.00	$45.12
71046 X-ray of chest, 2 views	323	317	$106.76	$40.09
76641 Complete ultrasound scan of 1 breast	161	156	$931.21	$175.63
76700 Ultrasound of abdomen	91	89	$1200.00	$142.95
72110 X-ray of lower and sacral spine, minimum of 4 views	60	60	$649.00	$60.39
73564 X-ray of knee, 4 or more views	54	36	$399.04	$54.78
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	51	50	$349.00	$62.96
76536 Ultrasound of head and neck	49	49	$700.00	$137.38
73630 X-ray of foot, minimum of 3 views	47	36	$372.32	$40.88
73030 X-ray of shoulder, minimum of 2 views	46	43	$419.17	$40.85
77065 Diagnostic mammography of 1 breast	38	36	$449.00	$152.49
76770 Complete ultrasound scan behind abdominal cavity	36	36	$585.00	$131.04
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	35	34	$730.00	$148.26
73502 X-ray of hip, 2-3 views	31	31	$280.81	$55.66
93970 Ultrasound study of arm or leg veins with compression and maneuvers	31	30	$1148.00	$229.46
72100 X-ray of lower and sacral spine, 2-3 views	30	30	$378.80	$47.61
77066 Diagnostic mammography of both breasts	28	28	$669.00	$193.13
72050 X-ray of upper spine, 4 or 5 views	26	26	$382.00	$62.85
74019 X-ray of abdomen, 2 views	26	22	$276.00	$43.81
91200 Measurement of liver stiffness	23	23	$700.00	$38.06
73130 X-ray of hand, minimum of 3 views	23	15	$304.17	$43.29
76856 Complete ultrasound scan of pelvis	22	22	$822.41	$119.85
72070 X-ray of middle spine, 2 views	16	16	$168.31	$38.64
71100 X-ray of ribs of one side of body, 2 views	16	16	$158.19	$43.84
73110 X-ray of wrist, minimum of 3 views	15	12	$437.00	$48.31
73610 X-ray of ankle, minimum of 3 views	15	11	$294.00	$43.97
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	14	14	$900.00	$333.39
76642 Limited ultrasound scan of 1 breast	13	13	$457.69	$115.49
76705 Limited ultrasound scan of abdomen	13	13	$651.00	$108.20
76830 Ultrasound pelvis through vagina	12	12	$937.08	$148.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,826	27	$1.00	$0.11
77080 Dxa bone density measurement of hip, pelvis, spine	372	372	$668.37	$46.07
77067 Screening mammography	318	318	$445.54	$158.81
77063 Screening digital tomography of both breasts	265	264	$349.00	$63.06
71046 X-ray of chest, 2 views	251	248	$108.50	$37.58
76700 Ultrasound of abdomen	120	119	$1126.82	$140.15
76641 Complete ultrasound scan of 1 breast	96	94	$877.53	$178.82
76536 Ultrasound of head and neck	82	81	$666.06	$136.67
76770 Complete ultrasound scan behind abdominal cavity	65	65	$585.00	$130.28
73564 X-ray of knee, 4 or more views	56	37	$420.00	$51.42
72110 X-ray of lower and sacral spine, minimum of 4 views	56	56	$619.74	$56.62
73030 X-ray of shoulder, minimum of 2 views	49	39	$406.25	$38.49
73630 X-ray of foot, minimum of 3 views	45	36	$410.67	$38.41
73502 X-ray of hip, 2-3 views	42	40	$264.70	$52.56
77066 Diagnostic mammography of both breasts	40	40	$457.95	$196.50
73130 X-ray of hand, minimum of 3 views	36	25	$310.25	$40.89
76856 Complete ultrasound scan of pelvis	35	34	$760.83	$119.95
74019 X-ray of abdomen, 2 views	34	32	$276.00	$41.84
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	34	34	$349.00	$63.14
71250 Ct scan of chest without contrast	32	31	$1737.50	$179.57
72100 X-ray of lower and sacral spine, 2-3 views	31	31	$443.00	$44.56
76857 Limited ultrasound scan of pelvis	28	28	$300.00	$41.80
76830 Ultrasound pelvis through vagina	26	25	$885.14	$143.87
77065 Diagnostic mammography of 1 breast	25	25	$437.24	$157.27
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	25	25	$678.14	$144.75
93970 Ultrasound study of arm or leg veins with compression and maneuvers	25	25	$1057.60	$213.16
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	24	24	$900.00	$327.84
73562 X-ray of knee, 3 views	21	15	$273.68	$45.17
74177 Ct scan of abdomen and pelvis with contrast	21	20	$2223.33	$382.13
72070 X-ray of middle spine, 2 views	18	18	$173.00	$36.84
70486 CT scan of face	18	18	$2295.60	$159.74
74178 Ct scan of abdomen and pelvis before and after contrast	18	18	$2489.75	$428.61
74176 Ct scan of abdomen and pelvis without contrast	17	17	$1968.39	$230.13
76642 Limited ultrasound scan of 1 breast	16	16	$451.56	$105.36
72050 X-ray of upper spine, 4 or 5 views	16	16	$382.00	$59.28
74018 X-ray of abdomen, 1 view	14	14	$220.71	$33.79
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	12	12	$182.80	$168.82
71100 X-ray of ribs of one side of body, 2 views	12	12	$173.00	$41.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	4,600	39	$0.68	$0.12
77067 Screening mammography	663	663	$182.98	$149.05
77066 Diagnostic mammography of both breasts	237	236	$201.43	$187.85
77080 Dxa bone density measurement of hip, pelvis, spine	233	233	$119.45	$44.45
76641 Complete ultrasound scan of 1 breast	182	173	$256.43	$164.13
71046 X-ray of chest, 2 views	173	164	$75.78	$33.75
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	111	108	$215.91	$169.09
71250 Ct scan of chest without contrast	56	53	$473.15	$164.97
76536 Ultrasound of head and neck	53	53	$219.14	$131.23
77065 Diagnostic mammography of 1 breast	52	50	$193.64	$149.03
73562 X-ray of knee, 3 views	40	30	$60.98	$40.53
76700 Ultrasound of abdomen	40	40	$262.25	$136.02
72110 X-ray of lower and sacral spine, minimum of 4 views	35	35	$91.10	$54.89
76856 Complete ultrasound scan of pelvis	27	26	$196.57	$103.89
74176 Ct scan of abdomen and pelvis without contrast	25	25	$786.58	$219.15
76770 Complete ultrasound scan behind abdominal cavity	25	24	$226.41	$127.02
74178 Ct scan of abdomen and pelvis before and after contrast	24	24	$744.54	$393.88
76830 Ultrasound pelvis through vagina	23	22	$193.74	$137.34
70450 Ct scan head or brain without contrast	22	22	$344.56	$122.97
72052 X-ray of upper spine, 6 or more views	19	18	$105.03	$60.78
73130 X-ray of hand, minimum of 3 views	18	14	$59.34	$36.99
73030 X-ray of shoulder, minimum of 2 views	18	15	$54.59	$33.18
72148 MRI scan of lower spinal canal	18	18	$317.62	$245.66
74177 Ct scan of abdomen and pelvis with contrast	15	15	$1350.00	$361.13
73630 X-ray of foot, minimum of 3 views	15	14	$88.81	$34.76
70486 CT scan of face	14	14	$541.05	$145.81
74018 X-ray of abdomen, 1 view	13	11	$51.50	$30.65
71260 Ct scan of chest with contrast	12	12	$671.25	$151.43
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$230.51	$138.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	7,250	61	$0.62	$0.12
77067 Screening mammography	841	841	$193.01	$152.67
77080 Dxa bone density measurement of hip, pelvis, spine	270	270	$142.26	$46.66
77066 Diagnostic mammography of both breasts	251	250	$203.78	$190.45
76641 Complete ultrasound scan of 1 breast	196	187	$277.82	$166.93
71046 X-ray of chest, 2 views	180	178	$79.98	$33.47
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	94	93	$225.01	$172.18
71250 Ct scan of chest without contrast	73	69	$502.69	$162.86
77065 Diagnostic mammography of 1 breast	64	64	$200.08	$149.91
72110 X-ray of lower and sacral spine, minimum of 4 views	54	54	$110.71	$54.45
73562 X-ray of knee, 3 views	50	36	$84.69	$40.13
76536 Ultrasound of head and neck	41	41	$198.36	$133.56
76770 Complete ultrasound scan behind abdominal cavity	35	35	$229.43	$124.12
76856 Complete ultrasound scan of pelvis	33	33	$190.74	$112.28
73502 X-ray of hip, 2-3 views	31	31	$71.51	$46.24
74176 Ct scan of abdomen and pelvis without contrast	31	29	$940.48	$215.50
73630 X-ray of foot, minimum of 3 views	30	26	$55.29	$32.75
74178 Ct scan of abdomen and pelvis before and after contrast	29	29	$680.75	$385.09
73030 X-ray of shoulder, minimum of 2 views	27	26	$62.34	$32.68
76700 Ultrasound of abdomen	24	24	$290.37	$140.28
70486 CT scan of face	22	22	$547.14	$145.88
76830 Ultrasound pelvis through vagina	22	22	$189.59	$138.71
72052 X-ray of upper spine, 6 or more views	22	22	$123.43	$61.78
73130 X-ray of hand, minimum of 3 views	20	13	$88.51	$33.85
72070 X-ray of middle spine, 2 views	16	16	$64.95	$37.48
70450 Ct scan head or brain without contrast	15	15	$225.36	$126.18
74177 Ct scan of abdomen and pelvis with contrast	13	13	$1206.00	$339.75
74018 X-ray of abdomen, 1 view	12	11	$49.89	$27.71
71270 Ct scan of chest before and after contrast	11	11	$604.69	$223.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	9,600	78	$0.60	$0.12
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	740	740	$183.19	$148.01
77080 Dxa bone density measurement of hip, pelvis, spine	228	228	$141.07	$44.69
71020 X-ray of chest, 2 views, front and side	221	216	$70.02	$31.24
76641 Complete ultrasound scan of 1 breast	209	201	$288.48	$162.42
G0204 Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral	199	199	$201.48	$187.44
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	71	68	$250.47	$153.71
G0206 Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral	59	56	$181.23	$146.53
76700 Ultrasound of abdomen	57	57	$202.53	$138.99
76536 Ultrasound of head and neck	48	47	$201.59	$133.04
73562 X-ray of knee, 3 views	45	33	$42.90	$39.03
72110 X-ray of lower and sacral spine, minimum of 4 views	44	44	$79.69	$53.33
71250 Ct scan of chest without contrast	41	41	$465.24	$179.07
76770 Complete ultrasound scan behind abdominal cavity	39	39	$211.77	$126.09
70486 CT scan of face	38	38	$569.40	$155.33
76856 Complete ultrasound scan of pelvis	36	36	$160.88	$106.63
74178 Ct scan of abdomen and pelvis before and after contrast	30	30	$642.74	$390.27
73030 X-ray of shoulder, minimum of 2 views	29	27	$42.58	$32.37
76830 Ultrasound pelvis through vagina	28	28	$181.10	$138.23
73630 X-ray of foot, minimum of 3 views	26	22	$49.42	$29.85
70450 Ct scan head or brain without contrast	24	23	$385.85	$129.01
73502 X-ray of hip, 2-3 views	23	23	$80.88	$45.53
73130 X-ray of hand, minimum of 3 views	19	15	$46.52	$34.54
71270 Ct scan of chest before and after contrast	18	18	$478.72	$275.82
72052 X-ray of upper spine, 6 or more views	16	16	$96.21	$63.02
70492 Ct scan of soft tissue of neck before and after contrast	15	15	$652.12	$242.16
73610 X-ray of ankle, minimum of 3 views	15	11	$39.77	$34.95
74176 Ct scan of abdomen and pelvis without contrast	15	15	$443.43	$209.26
72148 MRI scan of lower spinal canal	13	13	$339.84	$248.51
73110 X-ray of wrist, minimum of 3 views	13	12	$51.82	$39.81
74000 X-ray of abdomen, single view	13	11	$51.91	$26.48

Medical Specialties & State Licenses

Radiology - Diagnostic Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0202X

State License NJ 25MA04044900

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0522406 (NJ)

Commercial Insurance / Payer ID Rr Medicare

P00842996 (NJ)

Commercial Insurance / Payer ID Amerihealth

0084954000

Commercial Insurance / Payer ID Americhoice

01000034100

Hospital & Practice Group Affiliations

Radiologic Associates Of Northern New Jersey, Pa

222 High St, Newton, NJ 078609604

Phone: 9733831280

Newton Imaging P.a.

222 High St, Newton, NJ 078609604

Phone: 9733831280

Radiology Associates Of Hackettstown Llc

57 Route 46 E, Hackettstown, NJ 078402695

Phone: 9089791621

The New Jersey Imaging Network, Llc

197 Ridgedale Ave, Cedar Knolls, NJ 079272111

Phone: 9736951290

95 Madison Imaging Center At Morristown Inc

95 Madison Ave, Morristown, NJ 079606023

Phone: 9739841111

Open Mri Radiology Llc

530 Green St, Iselin, NJ 088302654

Phone: 7323261515

Denville Diagnostics Imaging And Open Mri Llc

0100 28th St, Fair Lawn, NJ 074103786

Phone: 2014751300

Middletown Ventures Associates Llc

1275 State Route 35, Middletown, NJ 077482040

Phone: 7322750999

Women's Diagnostic Center, Pa

89 Sparta Ave, Sparta, NJ 078711790

Phone: 9737290002

Richard J Claps Md And Associates Pa

95 Madison Ave, Morristown, NJ 079606023

Phone: 9739841111

Center For Advanced Imaging Llc

120 Millburn Ave, Millburn, NJ 070411935

Phone: 9733760900

West Orange Radiology Llc

61 Main St, West Orange, NJ 070525353

Phone: 9737361680

East Brunswick Open Upright Mri Llc

620 Cranbury Rd, East Brunswick, NJ 088164000

Phone: 7326981717

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Norka Suarez , MD

Radiology - Diagnostic Radiology

NPI 1043329014

Doctor of Medicine (M.D.)

Dr. Edward Burak , MD

Radiology - Diagnostic Radiology

NPI 1700995768

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 23, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2014

Registered at 120 MILLBURN AVE, SUITE 101, MILLBURN, NJ 07041 (Tel: 9733760900)

📍

Updated Business Mailing Address January 23, 2014

Registered at 120 MILLBURN AVE, SUITE 101, MILLBURN, NJ 07041 (Tel: 9733760900)

👤

Provider Name / Credentials Updated January 23, 2014

Recorded as JEFFREY BLONSTEIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2014

Radiology (License #25MA04044900 in NJ)

🟢

Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1497864458

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 30, 2006

Last Update: January 23, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

120 Millburn Ave, Suite 101

Millburn, NJ 07041

Phone: 9733760900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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