TIMOTHY BLACKWELL DO
NPI 1699356782
Dermatology in Newton, NJ
About Timothy Blackwell Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY BLACKWELL DO (NPI 1699356782) is an individual dermatology provider in Newton, New Jersey, licensed in New Jersey (25MB12227900) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Rowan University School Of Osteopathic Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Timothy Blackwell Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Timothy Blackwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newton, NJ 07860
- Reassigned Medicare billing, New Jersey enrollment
- 48 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Morristown Medical Center
Acute Care Hospitals · Morristown, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07860 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Timothy Blackwell's NPI number?
The NPI number for Timothy Blackwell is 1699356782. It was assigned to this individual provider in the NPPES registry on April 20, 2021.
Where is Timothy Blackwell located?
Timothy Blackwell practices at 136 Woodside Ave, Newton, NJ 07860. The listed phone number is (973) 300-0222.
What is Timothy Blackwell's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Timothy Blackwell enrolled in Medicare?
Yes. Timothy Blackwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Timothy Blackwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Blackwell reassigns Medicare benefits to Premier Health Associates LLC (Newton, NJ). The 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 Timothy Blackwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Timothy Blackwell affiliated with any hospitals?
According to CMS data, Timothy Blackwell is affiliated with Morristown Medical Center.
When was this NPI record last updated?
The NPPES record for Timothy Blackwell was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.