Garden State Bariatrics & Wellness Center,LLC

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

License

NJ25MA05641900 Issued in NJ

Legal business name

GARDEN STATE BARIATRICS & WELLNESS CENTER,LLC

Practice address

225 Millburn Ave
Suite 204
Millburn, NJ 07041-1737

Phone

(973) 218-1990

Fax

(973) 629-1274

NPI assigned

Nov 29, 2007

Last updated

Feb 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael L Bilof, M.D.NPI 1891723136

Title

Owner

Phone

(973) 218-1990

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael L Bilof, M.D.

  • Surgery Physician
  • Millburn, NJ
  • NPI 1891723136
  Medicare reassignment NPD Authorized official
• Basil Michael Yurcisin II, M.D.

  • Surgery Physician
  • Raleigh, NC
  • NPI 1003062050

  NJ

  Medicare reassignment NPD
• Bella E Baum, PA-C

  • Surgical Physician Assistant
  • Millburn, NJ
  • NPI 1902046444
  Medicare reassignment
• Keith Raymond Bischoff, PA-C

  • Physician Assistant
  • Red Bank, NJ
  • NPI 1326073214
  Medicare reassignment
• Michael Anthony Caromano, PA-C

  • Physician Assistant
  • Brigantine, NJ
  • NPI 1912931569
  Medicare reassignment
• Ekata H Rushi, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Langhorne, PA
  • NPI 1326307117

  NJ

  Medicare reassignment
• Allyson Stacy Brockman-Bitterman, MD

  • Dermatology Physician
  • Millburn, NJ
  • NPI 1871535435
  NPD (past)
• Allison M Lorenzo, LPN

  • Licensed Practical Nurse
  • Millburn, NJ
  • NPI 1295556348
  NPD (past)
• Eric Scott Siegel, M.D.

  • Dermatology Physician
  • Millburn, NJ
  • NPI 1275578262
  NPD (past)
• Christine S Rausch, MD

  • MOHS-Micrographic Surgery Physician
  • Henrico, VA
  • NPI 1972589885
  NPD (past)
• Isabel C. Valencia, MD

  • Dermatology Physician
  • Tampa, FL
  • NPI 1700816162
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1104008374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE",
            "address_2": "SUITE 204",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411737",
            "telephone_number": "973-218-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE",
            "address_2": "SUITE 204",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411737",
            "telephone_number": "973-218-1990",
            "fax_number": "973-629-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE BARIATRICS & WELLNESS CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "BILOF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-218-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NJ",
            "license": "NJ25MA05641900",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": "NJ25MA05641900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Gabaud, APN-BC
• Krupa Gandhi, MD
• Omprakash Gangappagari, PTA
• Brandon Garces, O.D.
• Haley Garcia, LCSW
• Garden State Dental Design of Millburn
• Gayle S Shulman MD, LLC
• Julie George, CRNA
• Marie Geron, PHD
• Maureen E Giese, LAC

• Obesity Medicine (Family Medicine) Physician in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Obesity Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.