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JONATHAN BLANK M.D.
NPI 1366511412
Anesthesiology in Livingston, NJ

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039(973) 322-5512(973) 322-8165 Get Directions Write a Review

NPPES record last updated: March 9, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jonathan Blank M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN BLANK M.D. (NPI 1366511412) is an individual anesthesiology provider in Livingston, New Jersey, licensed in New Jersey (MA06732600) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1366511412
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJONATHAN BLANKCredential: M.D.
Location Address94 OLD SHORT HILLS RDLivingston, NJ 07039-5672
Mailing Address3100 Spring Forest Rd, Ste 130Raleigh, NC 27616-2880 · (919) 882-0706 · Fax (919) 873-9821
Phone(973) 322-5512
Fax(973) 322-8165
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateNovember 6, 2006
Last NPPES UpdateMarch 9, 2017
✔ NPI 1366511412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NJ · MA06732600
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X · License MA06732600 (NJ)
94 OLD SHORT HILLS RD, Livingston, NJ 07039
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Other Identifiers 3

Medicare UPINF90256
Medicare PIN031911CNKNJ
Medicaid7753802NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Blank M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557391372
PECOS Enrollment IDI20050822000043
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jonathan Blank reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rwjbh Observation Associates LLC
0.3 mi
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
NPI 1760095806 (888) 724-7123
Rutgers Health-Rwj Pediatric Critical Care
20 mi
Anesthesiology
125 PATERSON ST STE 5123
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 492 clinicians in this Medicare group
NPI 1063420776 (732) 235-7246

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSIDY MARTIN DNP
Nurse Practitioner (Gerontology)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (973) 322-2793
HARRY S VANWAGENEN PA-C
Psychiatry & Neurology (Neurology)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (973) 322-5000
CHISOM ENEKEBE
Pharmacist
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (862) 438-2289
ASSOCIATES IN TRANSPLANT AND GENERAL SURGERY
Specialist
94 OLD SHORT HILLS RD, EAST WING, SUITE 305
LIVINGSTON, NJ 07039
Essex County (973) 322-9801
TERESITA C REDONDO MD
Pathology (Anatomic Pathology & Clinical Pathology)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (973) 322-5763
DR. GREGORY JOSEPH ROKOSZ D.O.
Emergency Medicine
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (973) 322-5733
BILAL KHAN
Internal Medicine (Critical Care Medicine)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (646) 591-5953
MRS. KATHERINE DANIELLE SZUCS APN
Nurse Practitioner
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (973) 322-2249

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Blank's NPI number?

The NPI number for Jonathan Blank is 1366511412. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Jonathan Blank located?

Jonathan Blank practices at 94 Old Short Hills Rd, Livingston, NJ 07039. The listed phone number is (973) 322-5512.

What is Jonathan Blank's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jonathan Blank enrolled in Medicare?

Yes. Jonathan Blank is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jonathan Blank's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Blank reassigns Medicare benefits to 2 organizations: Rwjbh Observation Associates LLC (Livingston, NJ) and Rutgers Health-Rwj Pediatric Critical Care (New Brunswick, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Blank's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Blank was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.