Bilal Maqbool, DDS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

703 Main Street St. Joseph'S University Medical Center
Paterson, NJ 07503

Phone

(973) 754-2050

Fax

(973) 754-2633

NPI assigned

Jul 20, 2022

Reactivated

Apr 3, 2023

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2023.

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1497480867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MAIN STREET ST. JOSEPH'S UNIVERSITY MEDICAL CENTER",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07503",
            "telephone_number": "973-754-2050",
            "fax_number": "973-754-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MAIN STREET ST. JOSEPH'S UNIVERSITY MEDICAL CENTER",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07503",
            "telephone_number": "973-754-2050",
            "fax_number": "973-754-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAQBOOL",
        "first_name": "BILAL",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "deactivation_date": "2023-03-16",
        "reactivation_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia A Manoussos, MD
• Shana T Manradge
• Antoine Mansourati, MD
• Kirsten L Manzo, ACNPC-AG
• Asad Manzoor
• Marcela C. Marani-Dicovskiy, M.D.
• Mario V Marasovic, DC
• Ashley A Marchese-Fiallos
• Ryan Scott Marder, MD
• Steven Marinkovic, D.C.

• All providers in Paterson, NJ
• Student in an Organized Health Care Education/Training Program in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.