Individual provider Active NPI

Jeffrey D Blackman, MD

  • Pediatrics Physician
  • Marlton, NJ
National Provider Identifier
1538117908
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA05725800 Issued in NJ
Practice address
525 Route 73 S
Evesham Commons 102
Marlton, NJ 08053-9642
Phone
(856) 596-3434
Fax
(856) 596-9110
NPI assigned
May 5, 2006
Reactivated
Jun 26, 2026
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA05725800 NJ Primary

Addresses

Primary practice location

525 Route 73 S
Evesham Commons 102
Marlton, NJ 08053-9642

Mailing address

402 Lippincott Dr
401 Route 73 North, Building 10, Suite 320
Marlton, NJ 08053-4112
Phone (856) 782-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170427002324 NJ Practitioner - Pediatric Medicine 8628355773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Hahnemann University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

525 Route 73 S 104a
Advocare South Jersey Sports and Spin
Marlton, NJ 08053-9643
Phone (856) 874-9777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05725800NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Pediatrics CurrentSince Mar 1, 2017 Accepting new patients
Advocare , LLC CurrentSince Mar 1, 2017 Accepting new patients
Advocare Past Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

856 S White Horse Pike
Unit 2
Hammonton, NJ 08037
Phone (609) 704-8848

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787

525 Route 73 S
Ste 102
Marlton, NJ 08053
Phone (856) 596-3434

525 Route 73 S
Ste 104A
Marlton, NJ 08053
Phone (856) 794-9777

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

269 Fish Pond Rd
Sewell, NJ 08080
Phone (856) 863-9999

Interoperability endpoints

  • Direct secure messaging: jeffrey.blackman@advocaredoctors.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1538117908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LIPPINCOTT DR",
            "address_2": "401 ROUTE 73 NORTH, BUILDING 10, SUITE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 S",
            "address_2": "EVESHAM COMMONS 102",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539642",
            "telephone_number": "856-596-3434",
            "fax_number": "856-596-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-06-26",
        "certification_date": "2026-05-20",
        "deactivation_date": "2026-06-04",
        "reactivation_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA05725800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.