1. Home
  2. Directory
  3. New York
  4. East Patchogue
  5. Dermatology
  6. NPI Profile

CM BLAINE MD PLLC
NPI 1396514618
Dermatology in East Patchogue, NY

Active since December 28, 2023
250 PATCHOGUE YAPHANK RD STE 7, EAST PATCHOGUE, NY 11772(631) 714-4402(631) 714-4095 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1396514618
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCM BLAINE MD PLLC
Location Address250 PATCHOGUE YAPHANK RD STE 7East Patchogue, NY 11772-4862
Mailing Address250 Patchogue Yaphank Rd Ste 7East Patchogue, NY 11772-4862 · (631) 714-4402 · Fax (631) 714-4095
Phone(631) 714-4402
Fax(631) 714-4095
Organization SubpartNo
Authorized OfficialJiyon J KimPhysician Assistant · (631) 714-4402
Enumeration DateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
✔ NPI 1396514618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
250 PATCHOGUE YAPHANK RD STE 7, East Patchogue, NY 11772
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

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.