Charles Harry Blackinton, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA29474 Issued in NJ

Practice address

303 South Dennis Road
Cape May Court House, NJ 08210

Phone

(609) 465-0018

Fax

(609) 465-4864

NPI assigned

Mar 7, 2006

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

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.

Opted out of Medicare

Yes, effective Jun 15, 2016 through Jun 15, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1871560029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SOUTH DENNIS ROAD",
            "address_2": "PO BOX 456",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "08210",
            "telephone_number": "609-465-0018",
            "fax_number": "609-465-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SOUTH DENNIS ROAD",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "08210",
            "telephone_number": "609-465-0018",
            "fax_number": "609-465-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKINTON",
        "first_name": "CHARLES",
        "middle_name": "HARRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA29474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Lynn Bertonazzi, PHARMD
• Mark Bennett Besen, PHD
• Chad Billiris, D.C.
• Patricia Birchall, APRN, FNP-C, CDE
• Charles F Birk, DPM
• Michele C. Blair, LCSW
• Jennifer A Blankley, MS OTR/L
• William P. Block, DO
• Melanie Walker Boileau, LCSW
• Sharon Marie Booth

• Psychiatry Physician in Cape May Court House, NJ
• Providers in Cape May Court House, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.