Alexis C. Bobila, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

25MA03260800 Issued in NJ

Practice address

1037 Route 46
Suite #103
Clifton, NJ 07013-2451

Phone

(973) 471-8852

NPI assigned

Nov 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• St Josephs Medical Group PC

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1205425519
  Medicare reassignment NPD
• St. Joseph'S Healthcare, Inc.

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1497791297
  Medicare reassignment NPD

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1245213271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 ROUTE 46",
            "address_2": "SUITE #103",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132451",
            "telephone_number": "973-471-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 ROUTE 46",
            "address_2": "SUITE #103",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132451",
            "telephone_number": "973-471-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBILA",
        "first_name": "ALEXIS",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA03260800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3144101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Howard L Bleznick, R.PH.
• Bliss Community and Counseling Services LLC
• Bliss Community and Counseling Services LLC
• Bluejay Health
• Melody Bobe
• Charo Balagtas Bodiongan
• Lesly Yaneth Bodnar, PH.D
• Body and Mind Physical Therapy PC
• Body Wellness Center LLC
• Jodi Bogle

• Vascular Surgery Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Vascular Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.