Active NPIIndividual providerSole proprietor

Mr. Lincoln W Blackwood, PA

Physician Assistant, Surgical in Livingston, New Jersey

NPI Number1912128679
Practice location
94 Old Short Hills RD, Livingston, NJ 07039-5672
Fax
—
Last updated
July 8, 2007

Lincoln W. Blackwood is a Physician Assistant, Surgical based in Livingston, NJ. Lincoln W. Blackwood practices in Livingston, NJ and has the professional credentials of PA. The NPI Number for Lincoln W. Blackwood is 1912128679 and holds a License No. 25MP00033400 (NJ). The current practice location address for Lincoln W. Blackwood is 94 Old Short Hills RD, Livingston, NJ 07039-5672 and can be reached out via phone at 973-322-2200.

Provider Profile Details

NPI Number
1912128679
Provider Name
Lincoln W. Blackwood
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
94 Old Short Hills RD, Livingston, NJ 07039-5672
Phone Number
973-322-2200
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
Yes
Provider Enumeration Date
May 1, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
94 Old Short Hills RD
Livingston, NJ 07039-5672
Zip
07039-5672
Phone Number
973-322-2200
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
7033 Tuscany Dr
Macungie, PA 18062-8972
City
Macungie
State
PA
Zip
18062-8972
Phone Number
610-398-2232

License Information

License Number
25MP00033400
License State
NJ
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

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

Other Physician Assistant, Surgical providers near Livingston, NJ

View all Physician Assistant, Surgical providers in Livingston →

Frequently Asked Questions

What is the NPI number of Mr. Lincoln W Blackwood, PA?

The NPI number of Mr. Lincoln W Blackwood, PA is 1912128679. It was assigned on May 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Lincoln W Blackwood, PA?

Mr. Lincoln W Blackwood, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00033400.

Where does Mr. Lincoln W Blackwood, PA practice?

The practice location is 94 Old Short Hills RD, Livingston, NJ 07039-5672. The office can be reached at 973-322-2200 (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 1912128679 directly on the NPPES registry website.

Browse related providers