Luciano J. Bispo, MD, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MA07269600 Issued in NJ

Legal business name

LUCIANO J. BISPO, MD, LLC

Practice address

2950 College Dr
Ste 2F
Vineland, NJ 08360-6933

Phone

(856) 205-0606

Fax

(856) 205-0044

NPI assigned

Jul 29, 2006

Last updated

Jun 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luciano J Bispo, M.D.NPI 1144206384

Title

President

Phone

(856) 205-0606

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luciano J Bispo, M.D.

  • Obstetrics & Gynecology Physician
  • Vineland, NJ
  • NPI 1144206384
  Authorized official Same address or phone

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1407860760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W COHAWKIN RD STE C",
            "city": "CLARKSBORO",
            "state": "NJ",
            "postal_code": "080201145",
            "telephone_number": "856-423-7700",
            "fax_number": "856-423-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 COLLEGE DR",
            "address_2": "STE 2F",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606933",
            "telephone_number": "856-205-0606",
            "fax_number": "856-205-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIANO J. BISPO, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "BISPO",
        "authorized_official_first_name": "LUCIANO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-205-0606",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA07269600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.