NPIMap

Individual provider Active NPI

Liliane B. Quinlan, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Williamstown, NJ
National Provider Identifier
1104985514
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MA08106600 Issued in NJ
Practice address
979 N Black Horse Pike
Williamstown, NJ 08094-1044
Phone
(856) 629-5151
Fax
(856) 629-0281
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA08106600 NJ Primary

Addresses

Primary practice location

979 N Black Horse Pike
Williamstown, NJ 08094-1044

Mailing address

402 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300

Other identifiers 1

IdentifierTypeStateIssuer
0123358MedicaidNJ

Other names 1

  • Dr. Liliane M Bastos Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070525000247 NJ Practitioner - Internal Medicine 0749387785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

602 W Sherman Ave
Vineland, NJ 08360-7054
Phone (856) 629-5151

979 N Black Horse Pike
Advocare Nephrology of South Jersey
Williamstown, NJ 08094-1044
Phone (856) 424-7390

979 N Black Horse Pke
Williamstown, NJ 08094-1044
Phone (856) 629-5151

Hospital & facility affiliations

  • Bayada at Inspira, Home Health and Hospice Home health agency, Millville, NJ, CCN 317089
  • Holy Redeemer Home Care NJ South Home health agency, Runnemede, NJ, CCN 317025
  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032
  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08106600NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Jan 8, 2011 Accepting new patients
Advocare, LLC CurrentSince Jan 8, 2011 Accepting new patients
Advocare, LLC Past Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787

602 W Sherman Ave
Ste B
Vineland, NJ 08360
Phone (856) 446-6961

979 N Black Horse Pike
Williamstown, NJ 08094
Phone (856) 629-5151

Interoperability endpoints

  • Direct secure messaging: liliane.quinlan@advocaredoctors.eclinicaldirectplus.com

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1104985514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 N BLACK HORSE PIKE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941044",
            "telephone_number": "856-629-5151",
            "fax_number": "856-629-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINLAN",
        "first_name": "LILIANE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA08106600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123358",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIANE",
            "last_name": "BASTOS",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williamstown, NJ

Sources for this page

Verify at the official NPI Registry.