Martin Blackwell (NPI# 1356330534, PAC ID# 5890691794) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1356330534 |
| PAC ID by PECOS | 5890691794 |
| Professional Enrollment ID | I20031211000027 |
| Full Name | Martin Blackwell |
| Organization Legal Name | MARTIN BLACKWELL DO LLC |
| Address |
136 Woodside Ave Martin Blackwell Do LLC Newton NJ 07860-2313 |
| Phone Number | 9733000555 |
| Gender | M |
| Credential | DO |
| Medical School | UMDNJ NEW JERSEY SCHOOL OF OSTEO MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2062674054 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 136 Woodside Ave, Martin Blackwell Do LLC, Newton, NJ 07860-2313 | 9733000555 | MARTIN BLACKWELL DO LLC |
| Organization Legal Name | MARTIN BLACKWELL DO LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cristin Maura Kelly | Physician Assistant | Martin Blackwell Do LLC | 136 Woodside Ave, Martin Blackwell Do LLC, Newton, NJ 07860-2313 |
| Street Address |
136 WOODSIDE AVE MARTIN BLACKWELL DO LLC |
| City | NEWTON |
| State | NJ |
| Zip | 07860-2313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cristin Maura Kelly | Physician Assistant | Martin Blackwell Do LLC | 136 Woodside Ave, Martin Blackwell Do LLC, Newton, NJ 07860-2313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl James Spivak | Neurosurgery | 157 High St, Newton, NJ 07860-1004 | |
| Ronald K Harris | General Surgery | 175 High St, Newton, NJ 07860-1004 | |
| Hristo Vassilev Stoytchev | Internal Medicine | Practice Associates Medical Group | 175 High St, Newton, NJ 07860-1004 |
| Anandhi K Nadarajah | Obstetrics/gynecology | Practice Associates Medical Group | 175 High St, Newton, NJ 07860-1004 |
| Annette K Allegra | Nurse Practitioner | Practice Associates Medical Group | 175 High St, Newton, NJ 07860-1004 |
| Theresa Papagna | Nurse Practitioner | Practice Associates Medical Group | 175 High St, Newton, NJ 07860-1004 |
| James R. Smith | Internal Medicine | Practice Associates Medical Group | 175 High St, Newton, NJ 07860-1004 |
| Shomaf Nakhjo | General Surgery | 175 High St, Newton, NJ 07860-1004 | |
| Aashitha M Alexander | Internal Medicine | Practice Associates Medical Group | 175 High St, Newton, NJ 07860-1004 |
| Matilda S Mason | Internal Medicine | Practice Associates Medical Group | 175 High St, Newton, NJ 07860-1004 |
| Find all physicians in zip 07860 | |||
| City | NEWTON |
| Zip Code | 07860 |
| Specialty | DERMATOLOGY |
| City + Specialty | NEWTON + DERMATOLOGY |
Please comment or provide details below to improve the information on Martin Blackwell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.