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
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
Mailing address601 Elmwood Ave, Rochester, NY 14642-8648

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