CM BLAINE MD PLLC
NPI 1396514618
Dermatology in East Patchogue, NY
About Cm Blaine Md Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CM BLAINE MD PLLC (NPI 1396514618) is a healthcare organization registered as a dermatology in East Patchogue, New York and active in the NPI registry since December 2023. The organization lists Jiyon J Kim, Physician Assistant, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cm Blaine Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Cm Blaine MD PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cm Blaine MD PLLC's NPI number?
The NPI number for Cm Blaine MD PLLC is 1396514618. It was assigned to this organization in the NPPES registry on December 28, 2023.
Where is Cm Blaine MD PLLC located?
Cm Blaine MD PLLC is located at 250 Patchogue Yaphank Rd Ste 7, East Patchogue, NY 11772. The listed phone number is (631) 714-4402.
What is Cm Blaine MD PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Cm Blaine MD PLLC enrolled in Medicare?
Yes. Cm Blaine MD PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cm Blaine MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Cm Blaine MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Cm Blaine MD PLLC was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.