Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johan Blickman, MD

Individual provider Pediatric Radiology Physician · NPI 1013145838

Johan Blickman, MD is a Pediatric Radiology Physician in Rochester, New York. Licensed in Massachusetts. Registered with an NPI since 2009.

Licensed in
MA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 Elmwood Ave
Rochester, NY 14642-8648 Not confirmed with CMS for 17 years — call before visiting
Phone: (585) 275-2734
Fax: (585) 273-1033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 44956 (MA)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 44956 (MA)

Record details

NPI number1013145838
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2009
Last updated in NPPESJuly 1, 2009

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