Individual provider Active NPI

Blair J Maerowitz, PA-C

  • Physician Assistant
  • Amherst, MA
National Provider Identifier
1235107970
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1521 Issued in MA
Practice address
29 Cottage Street
B (Pioneer Valley Dermatology)
Amherst, MA 01002-1206
Phone
(413) 406-3250
Fax
(413) 549-7402
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1521 MA Primary

Addresses

Primary practice location

29 Cottage Street
B (Pioneer Valley Dermatology)
Amherst, MA 01002-1206

Mailing address

29B Cottage St
Amherst, MA 01002-1206
Phone (508) 754-3823

Other identifiers 3

IdentifierTypeStateIssuer
9700340MedicaidMA
290001521MA01OtherMAANTHEM
114411681OtherMAGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071001000825 MA Practitioner - Physician Assistant 2769424993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Valley Dermatology PCGroup PAC ID 0244201960, 6 clinicians

Practice addresses (Care Compare)

29 B Cottage St
Amherst, MA 01002-1206
Phone (978) 371-7010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.1 of 100Reported as individual
Quality
70
Promoting interoperability
52
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1521MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
PV Bay State LLC CurrentSince Jan 26, 2025 Accepting new patients
New England Dermatology, P.C. Past Accepting new patients

Locations

29 Cottage St
Ste B
Amherst, MA 01002
Phone (413) 549-7400

Interoperability endpoints

  • Direct secure messaging: bmaerowitz@apderm.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1235107970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29B COTTAGE ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021206",
            "telephone_number": "508-754-3823",
            "fax_number": "508-753-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 COTTAGE STREET",
            "address_2": "B (PIONEER VALLEY DERMATOLOGY)",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021206",
            "telephone_number": "413-406-3250",
            "fax_number": "413-549-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAEROWITZ",
        "first_name": "BLAIR",
        "middle_name": "J",
        "name_prefix": "Prof.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9700340",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "290001521MA01",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "114411681",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.