Individual provider Active NPI

Lisa M Bilella, C.R.N.A., A.P.N.

  • Registered Nurse
  • Newark, NJ
National Provider Identifier
1407213325
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26NR16679000 Issued in NJ
Practice address
150 Bergen St
Newark, NJ 07103-2496
Phone
(973) 972-4200
NPI assigned
Jan 22, 2016
Last updated
Jun 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NJ00619000 NJ
Registered Nurse 163W00000X RN667166 PA
Registered Nurse 163W00000X 558468-1 NY
Registered Nurse 163W00000X 26NR16679000 NJ Primary

Addresses

Primary practice location

150 Bergen St
Newark, NJ 07103-2496

Mailing address

3850 Ridge Pike
House 2
Collegeville, PA 19426-3122
Phone (718) 619-2036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170823003658 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537431663 Reassigns benefits to 1 organization
I20250501003384 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537431663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canj Anesthesia LLCGroup PAC ID 6709278740, 75 clinicians

Practice addresses (Care Compare)

55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (917) 681-4963

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
558468-1NYMDRegistered Nurse
RN667166PAMDRegistered Nurse
26NJ00619000NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Judah Schorr MD PC CurrentSince Jul 19, 2017 Accepting new patients
Canj Anesthesia LLC CurrentSince Feb 17, 2025 Accepting new patients

Locations

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

1 Maiden Ln
New York, NY 10038
Phone (212) 343-3668

Organizations & group practices 3

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.

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": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1407213325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 RIDGE PIKE",
            "address_2": "HOUSE 2",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263122",
            "telephone_number": "718-619-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BERGEN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032496",
            "telephone_number": "973-972-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILELLA",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "C.R.N.A., A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-22",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00619000",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN667166",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "558468-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR16679000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.