Individual provider Active NPI

Biljana Scopulovic-Nikolic

  • Internal Medicine Physician
  • North Bergen, NJ
National Provider Identifier
1508029042
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09337000 Issued in NJ
Practice address
8100 Kennedy Blvd
North Bergen, NJ 07047-4254
Phone
(201) 866-6770
Fax
(201) 866-6771
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09337000 NJ Primary

Addresses

Primary practice location

8100 Kennedy Blvd
North Bergen, NJ 07047-4254

Mailing address

8100 Kennedy Blvd
North Bergen, NJ 07047-4254
Phone (201) 866-6770

Other identifiers 1

IdentifierTypeStateIssuer
0430421MedicaidNJ

Other names 1

  • Biljana Scopulovic Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131226000628 NJ Practitioner - Internal Medicine 5092985093 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

4 Brighton Rd
Suite 401
Clifton, NJ 07012-1646
Phone (973) 777-7727

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Clifton, NJ, CCN 317017
  • Patient Care Home health agency, West Orange, NJ, CCN 317060
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Complete Care at Harborage LLC Nursing home, North Bergen, NJ, CCN 315307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Palisades Medical Associates LLC Internal Medicine CurrentSince May 1, 2014 Accepting new patients
Heart & Vascular Associates of Northern Jersey, P.a. CurrentSince Oct 31, 2019 Accepting new patients
Marc Goldstein CurrentSince Sep 11, 2013 Accepting new patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Oct 31, 2019 Accepting new patients
New Jersey Medical and Health Associates,LLC Internal Medicine CurrentSince Nov 8, 2022 Accepting new patients
Cheng-an Mao, MD, LLC Past Accepting new patients

Locations

2 Brighton Rd
Ste 400
Clifton, NJ 07012
Phone (862) 249-4904

4 Brighton Rd
Ste 401
Clifton, NJ 07012
Phone (973) 777-7727

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

8100 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 656-4104

Interoperability endpoints

  • Direct secure messaging: biljana.scopulovicnikolic@cphmg.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1508029042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474254",
            "telephone_number": "201-866-6770",
            "fax_number": "201-866-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474254",
            "telephone_number": "201-866-6770",
            "fax_number": "201-866-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOPULOVIC-NIKOLIC",
        "first_name": "BILJANA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09337000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0430421",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILJANA",
            "last_name": "SCOPULOVIC",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.