Individual provider Active NPI

Christopher Bilbao, D.O.

  • Neurological Surgery Physician
  • Clifton, NJ
National Provider Identifier
1033433966
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MB10499200 Issued in NJ
Practice address
855 Valley Rd Ste 2
Clifton, NJ 07013-2441
Phone
(844) 666-2774
NPI assigned
Mar 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X OT012909 PA
Neurological Surgery Physician 207T00000X 25MB10499200 NJ Primary

Addresses

Primary practice location

855 Valley Rd Ste 2
Clifton, NJ 07013-2441

Mailing address

855 Valley Rd Ste 200
Clifton, NJ 07013-2441
Phone (844) 666-2774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190221000070 NJ Practitioner - Neurosurgery 4385957612 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
13685CAMDCorneal and Contact Management Optometrist
OT012909PAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Surgical Associates, PA Neurological Surgery CurrentSince Feb 4, 2019 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Feb 4, 2019 Accepting new patients
South Nassau Orthopedic Surgery and Sports Medicine, P.C. Past Accepting new patients

Locations

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

3 Cooper Plz
Rm 403
Camden, NJ 08103
Phone (856) 342-2439

2339 Route 70 W
Ste 400
Cherry Hill, NJ 08002
Phone (856) 546-8525

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1033433966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 VALLEY RD STE 200",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132441",
            "telephone_number": "844-666-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 VALLEY RD STE 2",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132441",
            "telephone_number": "844-666-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILBAO",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-22",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "OT012909",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MB10499200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.