Timothy Blackwell, DO is a medicare enrolled "Dermatology" physician in Newton, New Jersey. He went to Rowan University School Of Osteopathic Medicine and graduated in 2021 and has 4 years of diverse experience with area of expertise as Dermatology. His current practice location is
136 Woodside Ave, Newton, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 300-0222.
Timothy Blackwell is licensed to practice in New Jersey (license number 25MB12227900) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1699356782.
Physician's Profile
| Full Name | Timothy Blackwell |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 4 Years |
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| Location | 136 Woodside Ave, Newton, New Jersey |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Timothy Blackwell attended and graduated from Rowan University School Of Osteopathic Medicine in 2021
NPI Data:
- NPI Number: 1699356782
- Provider Enumeration Date: 04/20/2021
- Last Update Date: 06/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 2466966296
- Enrollment ID: I20250703003593
Medical Identifiers
Medical identifiers for Timothy Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699356782 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 25MB12227900 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy Blackwell is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Timothy Blackwell, DO
136 Woodside Ave,
Newton, NJ 07860-2313
Ph: (973) 300-0222 | Timothy Blackwell, DO
136 Woodside Ave,
Newton, NJ 07860-2313
Ph: (973) 300-0222 |
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