Active NPIIndividual providerSole proprietor

Bonnie Blackman, MD

Anesthesiology in Demarest, New Jersey

NPI Number1780752253
Practice location
1 Frick Dr, Demarest, NJ 07627-1326
Fax
973-506-1954
Last updated
September 25, 2015

Bonnie Blackman is an Anesthesiology based in Demarest, NJ. Bonnie Blackman practices in Demarest, NJ and has the professional credentials of MD. The NPI Number for Bonnie Blackman is 1780752253 and holds a License No. 25MA05869500 (NJ). The current practice location address for Bonnie Blackman is 1 Frick Dr, Demarest, NJ 07627-1326 and can be reached out via phone at 845-406-1347 and via fax at 973-506-1954.

Provider Profile Details

NPI Number
1780752253
Provider Name
Bonnie Blackman
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1 Frick Dr, Demarest, NJ 07627-1326
Phone Number
845-406-1347
Fax Number
973-506-1954
Primary Taxonomy
Anesthesiology · 207L00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 1, 2006
Last Update Date
September 25, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Frick Dr
Demarest, NJ 07627-1326
Zip
07627-1326
Phone Number
845-406-1347
Fax Number
973-506-1954
Demarest, NJ 07627Get directions →

Provider Business Mailing Address Details

Address
Po Box 476
Cresskill, NJ 07626-0476
City
Cresskill
State
NJ
Zip
07626-0476
Phone Number
845-406-1347
Fax Number
973-506-1954

License Information

License Number
25MA05869500
License State
NJ
Taxonomy
Anesthesiology · 207L00000X · 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 Bonnie Blackman, MD?

The NPI number of Bonnie Blackman, MD is 1780752253. It was assigned on December 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Bonnie Blackman, MD?

Bonnie Blackman, MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in NJ under license number 25MA05869500.

Where does Bonnie Blackman, MD practice?

The practice location is 1 Frick Dr, Demarest, NJ 07627-1326. The office can be reached at 845-406-1347 (phone) or 973-506-1954 (fax).

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 1780752253 directly on the NPPES registry website.

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