Individual provider Active NPI

Luciano J Bispo, M.D.

  • Obstetrics & Gynecology Physician
  • Vineland, NJ
National Provider Identifier
1144206384
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME178337 Issued in FL
Practice address
2950 College Dr
Ste 2F
Vineland, NJ 08360-6933
Phone
(856) 205-0606
Fax
(856) 205-0044
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME178337 FL Primary
Obstetrics & Gynecology Physician 207V00000X 25MA07269600 NJ

Addresses

Primary practice location

2950 College Dr
Ste 2F
Vineland, NJ 08360-6933

Mailing address

601 E Altamonte Dr
Altamonte Springs, FL 32701-4802
Phone (407) 303-0410

Other practice location 1

601 E Altamonte Dr
Altamonte Springs, FL 32701-4802
Phone (407) 303-0410

Other identifiers 1

IdentifierTypeStateIssuer
8949107MedicaidNJ

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
I20040430000840 NJ Practitioner - Obstetrics/Gynecology 3870580756 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Womens HealthGroup PAC ID 3072899830, 4 clinicians
OB Hospitalist Services New Jersey PAGroup PAC ID 3476859182, 45 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Way
Somers Point, NJ 08244-2300
Phone (609) 272-0506

1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone (800) 967-2289

Hospital & facility affiliations

  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology CurrentSince Oct 3, 2011 Accepting new patients
Community Health Care, Inc. Obstetrics & Gynecology CurrentSince Aug 25, 2016 Accepting new patients
Community Health Care, Inc. CurrentSince Aug 25, 2016 Accepting new patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince Apr 30, 2016 Accepting new patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Oct 3, 2011 Accepting new patients
Advantage Womens Health Obstetrics & Gynecology CurrentSince Feb 4, 2017 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Vineland Obstetrical & Gynecologial Professional Association Obstetrics & Gynecology Past Accepting new patients

Locations

707 White Horse Pike
Ste D4
Absecon, NJ 08201
Phone (609) 272-0506

30 N Pearl St
Bridgeton, NJ 08302

399 Front St
Unit E
Elmer, NJ 08318
Phone (856) 223-8930

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552

34 Colson Ln
Mullica Hill, NJ 08062
Phone (856) 223-0500

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

2950 College Dr
Ste 2F
Vineland, NJ 08360
Phone (856) 205-0606

1318 S Main Rd
Ste 3A
Vineland, NJ 08360
Phone (856) 462-6350

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

603 N Broad St
Ste 300
Woodbury, NJ 08096
Phone (856) 223-8930

100 Lexington Rd
Bldg 1
Woolwich Twp, NJ 08085
Phone (856) 223-0436

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDBDAA/Endpoint/BDBDAA

Organizations & group practices 8

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 1

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1144206384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E ALTAMONTE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014802",
            "telephone_number": "407-303-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 COLLEGE DR",
            "address_2": "STE 2F",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606933",
            "telephone_number": "856-205-0606",
            "fax_number": "856-205-0044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Altamonte Dr",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327014802",
            "country_code": "US",
            "telephone_number": "407-303-0410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISPO",
        "first_name": "LUCIANO",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME178337",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA07269600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8949107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.