Cm Blaine MD PLLC
NPI 1396514618 · Dermatology Physician · East Patchogue, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cm Blaine MD PLLC is a Dermatology Physician organization in East Patchogue, NY (NPI 1396514618).
Provider details
- NPI number
- 1396514618
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jiyon Kim, Physician Assistant(631) 714-4402
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-28
- Last updated
- 2023-12-28
- Certified
- 2023-12-28
Frequently asked questions
- What is Cm Blaine MD PLLC's NPI number?
- Cm Blaine MD PLLC's National Provider Identifier (NPI) is 1396514618, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cm Blaine MD PLLC?
- Cm Blaine MD PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Cm Blaine MD PLLC located?
- Cm Blaine MD PLLC's practice location on file with NPPES is 250 Patchogue Yaphank Rd Ste 7, East Patchogue, NY 11772-4862.
- What is Cm Blaine MD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Cm Blaine MD PLLC is (631) 714-4402.
- Does Cm Blaine MD PLLC accept Medicare?
- Cm Blaine MD PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Cm Blaine MD PLLC?
- The authorized official listed on Cm Blaine MD PLLC's NPPES record is Jiyon Kim, Physician Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cm Blaine MD PLLC's NPI active?
- Yes — Cm Blaine MD PLLC's NPI (1396514618) is active in the NPPES registry as of the last update on 2023-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.