Timothy Blackwell, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MB12227900 Issued in NJ

Practice address

136 Woodside Ave
Newton, NJ 07860-2313

Phone

(973) 300-0222

NPI assigned

Apr 20, 2021

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

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

Specialty

Dermatology

Education

Rowan University School of Osteopathic Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Health Associates LLCGroup PAC ID 0840283008, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothyblackwell@premiernj.allscriptsdirect.net
• FHIR API: https://fhir4.healow.com/fhir/r4/EDJHBA
• Direct secure messaging: tblackwell559119@direct.ahsys.org

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.

• Premier Health Associates LLC

  • Internal Medicine Physician
  • Newton, NJ
  • NPI 1043257991

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Premier Health Associates, LLC

  • Clinic/Center
  • Sparta, NJ
  • NPI 1881882785
  NPD

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

• Ahs Hospital Corp.

  dba Morristown Medical Center

  • General Acute Care Hospital
  • Morristown, NJ
  • NPI 1053384776
  Care Compare affiliation

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1699356782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 WOODSIDE AVE",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602313",
            "telephone_number": "973-300-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 WOODSIDE AVE",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602313",
            "telephone_number": "973-300-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "TIMOTHY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MB12227900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlayna Caroline Best, D.M.D.
• Beth Schulaka Psychotherapy
• Parimal S Bhayani, MD
• Jeffrey Billings, D.C.
• Blackwell Derm
• Jessica Ann Bleyhl, MSW LSW
• Bloom and Grow Coaching LLC
• Diane Marie Bond, LPC
• Meghan Braccioforte, LPC
• Glen E Bradish, MD

• Dermatology Physician in Newton, NJ
• Providers in Newton, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.