Individual provider Active NPI

Fay O Bizub, NP

  • Nurse Practitioner
  • Freehold, NJ
National Provider Identifier
1609067057
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00079000 Issued in NJ
Practice address
222 Schanck Rd
Suite 104
Freehold, NJ 07728-3068
Phone
(732) 431-1332
Fax
(732) 776-6601
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00079000 NJ Primary

Addresses

Primary practice location

222 Schanck Rd
Suite 104
Freehold, NJ 07728-3068

Mailing address

2102 Corlies Ave
Neptune, NJ 07753-6141
Phone (732) 776-8535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00079000NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Specialists of Central Jersey CurrentSince Jul 1, 2016 Accepting new patients
New York Cardiovascular Associates PLLC Past Accepting new patients

Locations

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

901 W Main St
Ste 205
Freehold, NJ 07728
Phone (732) 866-0800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1609067057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 CORLIES AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077536141",
            "telephone_number": "732-776-8535",
            "fax_number": "732-776-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SCHANCK RD",
            "address_2": "SUITE 104",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283068",
            "telephone_number": "732-431-1332",
            "fax_number": "732-776-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZUB",
        "first_name": "FAY",
        "middle_name": "O",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00079000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.