Active NPIIndividual providerSole proprietor

Dr. Martin Blackwell, DO

Dermatology in Hopatcong, New Jersey

NPI Number1356330534
Practice location
109 Maxim Dr, Hopatcong, NJ 07843-1900
Fax
—
Last updated
May 9, 2025

Martin Blackwell is a Dermatology based in Hopatcong, NJ. Martin Blackwell practices in Hopatcong, NJ and has the professional credentials of DO. The NPI Number for Martin Blackwell is 1356330534 and holds a License No. 25MB05321100 (NJ). The current practice location address for Martin Blackwell is 109 Maxim Dr, Hopatcong, NJ 07843-1900 and can be reached out via phone at 973-222-2719.

Provider Profile Details

NPI Number
1356330534
Provider Name
Martin Blackwell
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
109 Maxim Dr, Hopatcong, NJ 07843-1900
Phone Number
973-222-2719
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 19, 2005
Last Update Date
May 9, 2025
Certification Date
May 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
109 Maxim Dr
Hopatcong, NJ 07843-1900
Zip
07843-1900
Phone Number
973-222-2719
Hopatcong, NJ 07843Get directions →

Provider Business Mailing Address Details

Address
136 Woodside Ave
Newton, NJ 07860-2313
City
Newton
State
NJ
Zip
07860-2313
Phone Number
973-300-0555
Fax Number
973-300-0052

License Information

License Number
25MB05321100
License State
NJ
Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Martin Blackwell, DO?

The NPI number of Dr. Martin Blackwell, DO is 1356330534. It was assigned on October 19, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Martin Blackwell, DO?

Dr. Martin Blackwell, DO is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NJ under license number 25MB05321100.

Where does Dr. Martin Blackwell, DO practice?

The practice location is 109 Maxim Dr, Hopatcong, NJ 07843-1900. The office can be reached at 973-222-2719 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356330534 directly on the NPPES registry website.

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