Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael Laurence Blake, MD

Individual provider Internal Medicine Physician · NPI 1417111493

Dr. Michael Laurence Blake, MD is an Internal Medicine in Lakewood, New Jersey. Qualified in 2006, 20 years ago. Practices with Plover Inpatient Services LLC, a 153-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
20
Licensed in
NJ
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

600 River Ave
Lakewood, NJ 08701-5237
Phone: (732) 942-5721
Fax: (732) 942-5723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA08599800 (NJ)

Record details

NPI number1417111493
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2008
Last updated in NPPESMarch 8, 2011
Mailing address600 River Ave, Lakewood, NJ 08701-5237

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Plover Inpatient Services Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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