Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY BLACKWELL, DO
Active Sole ProprietorTIMOTHY BLACKWELL, DO is a Dermatology healthcare provider located in NEWTON, New Jersey. NPI 1699356782 is currently active in the NPPES registry. Verify at CMS.
Dermatology · NEWTON, NJ
Registration Details
- NPI Number
- 1699356782
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2021 (5.3091602413832 yrs)
- Last Updated
- Jun 12, 2025
- License
-
25MB12227900 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
136 WOODSIDE AVENEWTON, NJ, 078602313Browse NJ providers · Browse ZIP 07860
- Phone
- 9733000222
- Primary Specialty
-
Dermatology
207N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.