Bjorn Montevanne Blackwood, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

506 Lennox Avenue
New York, NY 10037

Phone

(212) 939-1000

NPI assigned

Apr 14, 2023

Reactivated

Oct 30, 2025

Last updated

Oct 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1396431011",
    "addresses": [
        {
            "country_code": "JM",
            "country_name": "Jamaica",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "56 NORBROOK DRIVE, KINGSTON 8",
            "city": "KINGSTON",
            "state": "KINGSTON",
            "postal_code": "00876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 LENNOX AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10037",
            "telephone_number": "212-939-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "BJORN",
        "middle_name": "MONTEVANNE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-14",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "deactivation_date": "2023-11-17",
        "reactivation_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Blackstone, LMHC
• Robin Leigh Pavlich Blackstone, MD
• Delores Blackwell, LCSW
• Princess Nailah Blackwell
• Renee Denise Blackwell, LMSW
• Dana Blackwood
• Jena Rae Blackwood, DPT
• Lenecia Blackwood
• Deborah Renee Blades-Clarke, NP
• Michael Blady, LCSW-R

• Student in an Organized Health Care Education/Training Program in New York, NY
• Providers in New York, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.