Christine Marie Blaine, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

265036-1 Issued in NY

Practice address

110 E Main St
Suite #6
Huntington, NY 11743-2845

Phone

(631) 424-3600

Fax

(631) 424-2963

NPI assigned

Apr 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• CM Blaine MD PLLC

  • Dermatology Physician
  • East Patchogue, NY
  • NPI 1396514618
  Medicare reassignment NPD
• Christine Blaine MD PC

  • Plastic Surgery Physician
  • Huntington Station, NY
  • NPI 1780018531
  NPD Authorized official

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1609040310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "address_2": "SUITE #6",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432845",
            "telephone_number": "631-424-3600",
            "fax_number": "631-424-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "address_2": "SUITE #6",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432845",
            "telephone_number": "631-424-3600",
            "fax_number": "631-424-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAINE",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MT186094",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "265036-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette M Birnbaum, MD
• Adrian Philip Bisceglia, PT, DPT
• Biddy Sherman Bishop, MA, CRC, CDMS
• Michael Robert Bisogno, MD
• Adam Bitterman, D.O.
• Holly Susanne Blakley
• Lorna Blando, MD
• Kenneth Allen Blank, PSY.D.
• Bloom & Flourish Therapy
• Adam Harry Bloom, M.D.

• Plastic and Reconstructive Surgery Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Plastic and Reconstructive Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.