Active NPI
Michael R. Bilkis, M.D.
- Procedural Dermatology Physician
- Verona, NJ
National Provider Identifier
1235166349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 25MA05571300
- Practice address
- 60 Pomton Avenue
Verona, NJ 07044 - Phone
- (973) 571-2121
- Fax
- (973) 571-2126
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | 25MA05571300 | NJ | Primary |
Addresses
Primary practice location
60 Pomton Avenue
Verona, NJ 07044
Mailing address
60 Pomton Avenue
Verona, NJ 07044
Phone (973) 571-2121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235166349 | Other | NJ | PROVIDER ID |
| 653958 | Other | NJ | MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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
- Dermatology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 E Broad St
Savannah, GA 31401-2917
Phone (912) 527-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Savannah, GA
- NPI 1750314183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1235166349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 POMTON AVENUE",
"city": "VERONA",
"state": "NJ",
"postal_code": "07044",
"telephone_number": "973-571-2121",
"fax_number": "973-571-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 POMTON AVENUE",
"city": "VERONA",
"state": "NJ",
"postal_code": "07044",
"telephone_number": "973-571-2121",
"fax_number": "973-571-2126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILKIS",
"first_name": "MICHAEL",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "NJ",
"license": "25MA05571300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID",
"identifier": "1235166349",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "653958",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Verona, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.