Individual provider Active NPI

Sean Michael Bidic, MD

  • Plastic Surgery Physician
  • Mullica Hill, NJ
National Provider Identifier
1730124256
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA08686600 Issued in NJ
Practice address
199 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone
(856) 362-8898
Fax
(856) 362-8903
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 25MA08686600 NJ
Plastic Surgery Physician 208200000X 25MA08686600 NJ Primary

Addresses

Primary practice location

199 Mullica Hill Rd
Mullica Hill, NJ 08062

Mailing address

199 Mullica Hill Rd
Mullica Hill, NJ 08062-2655
Phone (856) 362-8898

Other practice location 1

2950 College Dr
Suite 2H
Vineland, NJ 08360-6933
Phone (856) 362-8898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101201000927 NJ Practitioner - Plastic and Reconstructive Surgery 5597795138 Reassigns benefits to 1 organization
I20180201003032 DE Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 5597795138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Columbia University College of Physicians and Surgeons, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Surgical Arts, P.CGroup PAC ID 1153517214, 4 clinicians

Practice addresses (Care Compare)

199 Mullica Hill Rd
Mullica Hill, NJ 08062-2655
Phone (856) 362-8898

4735 Ogletown Stanton Rd
Newark, DE 19713-2072
Phone (856) 362-8898

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy28
Melanoma (skin cancer) excision13
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08686600NJMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Apr 8, 2020 Accepting new patients
Christiana Care Health Services, Inc CurrentSince Apr 8, 2020 Accepting new patients
David D Zabel M.D., P.a Plastic Surgery CurrentSince Nov 14, 2017 Accepting new patients

Locations

550 Stanton Christiana Rd
Ste 202
Newark, DE 19713
Phone (302) 691-0350

4735 Ogletown Stanton Rd
Ste 202
Newark, DE 19713
Phone (856) 362-8898

4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343

Interoperability endpoints

  • Direct secure messaging: sbidic3196076@direct.trinity-health.org
  • Direct secure messaging: sbidic@directaddress.net

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1730124256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 MULLICA HILL RD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622655",
            "telephone_number": "856-362-8898",
            "fax_number": "856-362-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MULLICA HILL RD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "08062",
            "telephone_number": "856-362-8898",
            "fax_number": "856-362-8903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 College Dr",
            "address_2": "Suite 2H",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083606933",
            "country_code": "US",
            "telephone_number": "856-362-8898",
            "fax_number": "856-362-8903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIDIC",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NJ",
            "license": "25MA08686600",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA08686600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

Verify at the official NPI Registry.