DR. MICHAEL LAURENCE BLAKE (NPI# 1417111493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417111493 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LAURENCE BLAKE |
| Credential | MD |
| Practice Address |
600 River Ave Lakewood NJ 08701-5237 |
| Practice Telephone | 7329425721 |
| Practice Fax Number | 7329425723 |
| Mailing Telephone | 7329425721 |
| Mailing Fax Number | 7329425723 |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2011-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25MA08599800 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831161264 | Michael G Blake | Optometrist | 124 W Coal Ave, Gallup, NM 87301-6206 | 2006-02-01 |
| 1154894434 | Michael Blake | Dietitian, Registered | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-01-09 |
| 1861876963 | Michael Blake | Psychologist | 25 Main St., Office 322, Stockbridge, MA 01262-0962 | 2015-07-17 |
| 1013217231 | Michael Blake | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2010-10-22 |
| 1225205230 | Michael Scott Blake | Emergency Medicine | 300 Main St, Lewiston, ME 04240-7027 | 2008-05-09 |
| 1588855803 | Michael Todd Blake | Emergency Medicine | 250 Hospital Place, Central Peninsula Hospital, Soldotna, AK 99669 | 2007-08-05 |
| 1457394736 | Michael C. Blake | Emergency Medicine | 2018 W Clinch Ave, Knoxville, TN 37916-2301 | 2006-06-14 |
| 1578513701 | Michael Joseph Blake | Pediatrics | 206 Alaska Frontage Rd, Belgrade, MT 59714-7909 | 2006-05-10 |
| 1063474955 | Michael Clarence Blake | Surgery | 2790 Godwin Blvd, Ste 305, Suffolk, VA 23434-8151 | 2006-04-05 |
| 1265411896 | Michael John Blake | Anesthesiology | 6001 E Broad St, Columbus, OH 43213-1502 | 2006-01-12 |
| Street Address |
600 RIVER AVE |
| City | LAKEWOOD |
| State | NJ |
| Zip Code | 08701-5237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376317 | Acutecare Health System LLC | General Acute Care Hospital | 600 River Ave, 4 West, Lakewood, NJ 08701-5237 | 2005-06-17 |
| 1740819168 | Courtney Marie Keville | Physician Assistant | 600 River Ave, Lakewood, NJ 08701-5237 | 2020-04-07 |
| 1689143208 | Nicole M Kissam | Social Worker | 600 River Ave, Lakewood, NJ 08701-5237 | 2018-11-14 |
| 1063944643 | Kate Bianchini | Registered Nurse | 600 River Ave, Lakewood, NJ 08701-5237 | 2017-04-01 |
| 1770027138 | Michael Olukotun | Nurse Practitioner | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-12-05 |
| 1154870202 | Jaclyn Beck | Physician Assistant | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-09-30 |
| 1245682491 | Garima Kalra | Internal Medicine | 600 River Ave, Lakewood, NJ 08701 | 2016-07-11 |
| 1588018840 | Lakewood Hospitalists | Psychiatry & Neurology | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-04-22 |
| 1568821981 | Allyson Walsh | Nurse Practitioner | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-02-12 |
| 1588047781 | Hilary Fuirita | Physician Assistant | 600 River Ave, Lakewood, NJ 08701-5237 | 2015-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
| 1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
| 1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
| 1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
| 1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
| 1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
| 1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
| 1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
| 1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
| 1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859014 | Scl Physicians - Rmpc LLC | Internal Medicine | 8585 W 14th Ave Ste B-2, Lakewood, CO 80215-4860 | 2020-07-28 |
| 1972165637 | Bellevue Medical Clinic LLC | Internal Medicine | 8725 S Tacoma Way, Lakewood, WA 98499-4544 | 2019-07-02 |
| 1578031910 | Promed Service Center Inc. | Internal Medicine | 4910 Castana Ave, Lakewood, CA 90712-3234 | 2018-11-04 |
| 1992271597 | Trinity Medical Care | Internal Medicine | 3650 South St Ste 110, Lakewood, CA 90712-1534 | 2018-10-22 |
| 1235646191 | Lake Point Medical Group,llc | Internal Medicine | 15800 Detroit Ave Ste 2a, Lakewood, OH 44107-3748 | 2018-01-01 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1073961710 | Susan S Rupp | Internal Medicine | 1840 S Manor Ln, Lakewood, CO 80232-7144 | 2016-06-02 |
| 1285001610 | Margaret Toth | Internal Medicine | 2217 Woodward Ave, Lakewood, OH 44107-5734 | 2015-09-02 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1871865287 | Sam W. Abdelmelek,md,inc. | Internal Medicine | 5750 Downey Ave Ste 201, Lakewood, CA 90712-1468 | 2012-01-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.