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

Mr. Lincoln W. Blackwood, PA

Individual provider Surgical Physician Assistant · NPI 1912128679

Mr. Lincoln W. Blackwood, PA is a Physician Assistant in Livingston, New Jersey. Qualified in 2012, 14 years ago. Practices with Professional Service Fund of Deborah Heart and Lung Center, a 118-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
14
Licensed in
NJ
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone: (973) 322-2200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00033400 (NJ)

Record details

NPI number1912128679
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedMay 1, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Professional Service Fund Of Deborah Heart And Lung Center — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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