Active NPI
Fay O Bizub, NP
- Nurse Practitioner
- Freehold, NJ
National Provider Identifier
1609067057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ00079000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00079000 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Specialists of Central Jersey | Current | 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.
-
- Cardiovascular Disease Physician
- Freehold, NJ
- NPI 1144265828
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1821065590
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.