BLACKWELL DERM
NPI 1447016555
Dermatology in Newton, NJ

Active since February 26, 2024
136 WOODSIDE AVE, NEWTON, NJ 07860(973) 300-0222 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Blackwell Derm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACKWELL DERM (NPI 1447016555) is a healthcare organization registered as a dermatology in Newton, New Jersey and active in the NPI registry since February 2024. The organization lists Martin Blackwell, Physician, as its authorized official.

NPPES Registry Identity

NPI1447016555
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBLACKWELL DERM
Location Address136 WOODSIDE AVENewton, NJ 07860-2313
Mailing Address136 Woodside AveNewton, NJ 07860-2313
Organization SubpartNo
Authorized OfficialMartin BlackwellPhysician · (973) 222-2719
Enumeration DateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1447016555 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.
136 WOODSIDE AVE, Newton, NJ 07860

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blackwell Derm 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 Blackwell Derm, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1356330534
109 MAXIM DR
Hopatcong, NJ 07843
(973) 222-2719
✔ PECOS8.7 mi

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 Blackwell Derm's NPI number?

The NPI number for Blackwell Derm is 1447016555. It was assigned to this organization in the NPPES registry on February 26, 2024.

Where is Blackwell Derm located?

Blackwell Derm is located at 136 Woodside Ave, Newton, NJ 07860. The listed phone number is (973) 300-0222.

What is Blackwell Derm's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Blackwell Derm enrolled in Medicare?

Yes. Blackwell Derm is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blackwell Derm?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Blackwell Derm. 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 Blackwell Derm was last updated on February 26, 2024. 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.