DR. STEVEN JAY BLUMENFRUCHT (NPI# 1699769414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699769414 |
| Entity Type | Individual |
| Full Name | DR. STEVEN JAY BLUMENFRUCHT |
| Credential | MD |
| Practice Address |
411 Ogden Ave Teaneck NJ 07666-2819 |
| Practice Telephone | 2018331968 |
| Mailing Telephone | 2018331968 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2018-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME75738 | FL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
188407 | NY | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25MA05210400 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7435304 | 05 |
| Street Address |
411 OGDEN AVE |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-2819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174852511 | Esther Mehler | Speech-Language Pathologist | 411 Ogden Ave, Teaneck, NJ 07666-2819 | 2009-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316066228 | Daniel Brian Lerer | Radiology | 788 Winthrop Rd, Teaneck, NJ 07666-2264 | 2007-03-29 |
| 1215097886 | Adrienne Masin Greenblatt | Radiology | 699 Teaneck Road, Teaneck, NJ 07666-4244 | 2006-12-12 |
| 1376570861 | Howard Berman | Radiology | Holy Name Hospital Department of Radiology, 718 Teaneck Rd, Teaneck, NJ 07666 | 2006-06-28 |
| 1962819904 | Daniel Lerer Md PC | Radiology | 788 Winthrop Rd, Teaneck, NJ 07666-2264 | 2014-07-22 |
| 1710202536 | John Morgan | Radiology | 718 Teaneck Rd, Peace Health Partners, PC, Teaneck, NJ 07666-4245 | 2010-04-05 |
| 1619107703 | Kevin Herman | Radiology | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2009-07-23 |
| 1962655654 | David Singh | Radiology | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2008-10-28 |
| 1447447750 | Rina Felman | Radiology | 718 Teaneck Rd, Radiology Department, Teaneck, NJ 07666-4245 | 2007-10-01 |
| 1952520744 | Breast Imaging Partners, PC | Radiology | 718 Teaneck Road, Teaneck, NJ 07666-4245 | 2007-04-24 |
| 1265463954 | Peace Health Partners, PC | Radiology | 718 Teaneck Road, Teaneck, NJ 07666-4245 | 2006-07-05 |
| Find all providers in TEANECK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.