Individual provider Active NPI

Sandra H Bispo, MD

  • Pediatrics Physician
  • Sewell, NJ
National Provider Identifier
1194803296
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MAO6884500 Issued in NJ
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119004129 NJ Practitioner - Pediatric Medicine 0749283968 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
A85923CAMDPediatrics Physician
MAO6884500NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Dec 22, 2025 Accepting new patients
Virtua Medical Group, PA CurrentSince Dec 22, 2025 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

  • Direct secure messaging: sandra.bispo@pedassoc.eclinicaldirectplus.com
  • Direct secure messaging: 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.

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": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.