Active NPI
Sandra H Bispo, MD
- Pediatrics Physician
- Sewell, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MAO6884500
- Practice address
- 405 Hurffville Crosskeys Rd Ste 203
Sewell, NJ 08080-9344 - Phone
- (856) 582-0033
- Fax
- (856) 582-2305
- NPI assigned
- Nov 2, 2006
- Last updated
- Feb 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A85923 | CA | |
| Pediatrics Physician | 208000000X | MAO6884500 | NJ | Primary |
Addresses
Primary practice location
405 Hurffville Crosskeys Rd Ste 203
Sewell, NJ 08080-9344
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 582-0033
Other practice location 1
42 E Laurel Rd Ste 3500
Stratford, NJ 08084-1354
Phone (856) 566-7040
Other practice location 2
1318 S Main Road
Vineland, NJ 08360
Phone (856) 691-8585
Other practice location 3
1474 Tanyard Rd Ste D102
Sewell, NJ 08080-4222
Phone (856) 566-7045
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbispo319769@directvirtua.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
303 Lippincott Dr
Suite 200
Marlton, NJ 08053-4160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A85923 | CA | MD | Pediatrics Physician |
| MAO6884500 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Inspira Medical Centers, Inc. | Past | Accepting new patients | |
| Virtua Medical Group, PA | Past | Accepting new patients | |
| Pediatric Associates LLC | Pediatrics | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
1474 Tanyard Rd
Ste D102
Sewell, NJ 08080
Phone (856) 566-7045
405 Hurffville Crosskeys Rd
Ste 203
Sewell, NJ 08080
Phone (856) 582-0033
Interoperability endpoints
- sandra.bispo@pedassoc.eclinicaldirectplus.com
- sbispo319769@directvirtua.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Urgent Care Clinic/Center
- Haddon Township, NJ
- NPI 1932659778
-
dba Inspira Medical Center Vineland
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
-
- Pediatrics Physician
- Vineland, NJ
- NPI 1790868503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1194803296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "856-582-0033",
"fax_number": "856-582-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 HURFFVILLE CROSSKEYS RD STE 203",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080809344",
"telephone_number": "856-582-0033",
"fax_number": "856-582-2305"
}
],
"practiceLocations": [
{
"address_1": "42 E Laurel Rd Ste 3500",
"address_purpose": "LOCATION",
"city": "Stratford",
"state": "NJ",
"postal_code": "080841354",
"country_code": "US",
"telephone_number": "856-566-7040",
"fax_number": "856-566-6826",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1318 S Main Road",
"address_purpose": "LOCATION",
"city": "Vineland",
"state": "NJ",
"postal_code": "08360",
"country_code": "US",
"telephone_number": "856-691-8585",
"fax_number": "856-691-8489",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1474 Tanyard Rd Ste D102",
"address_purpose": "LOCATION",
"city": "Sewell",
"state": "NJ",
"postal_code": "080804222",
"country_code": "US",
"telephone_number": "856-566-7045",
"fax_number": "856-566-6850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BISPO",
"first_name": "SANDRA",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A85923",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MAO6884500",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbispo319769@directvirtua.org",
"affiliation": "N",
"address_1": "405 Hurffville Crosskeys Rd Ste 203",
"city": "Sewell",
"state": "NJ",
"country_code": "US",
"postal_code": "080809344",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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- Nicholas Andrew Bianco, PT, DPT
- Carl Angelo Bifano, DMD
- Daniel Bigini
- Ellen Louise Bleidorn, PT
- Edward Andrew Bley Jr., DO
- Craig Bober
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- Michele Boggs, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.