Individual provider Active NPI

Bernard E Bilicki

  • Clinical Psychologist
  • Hillsborough, NJ
National Provider Identifier
1730286782
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3506 Issued in NJ
Practice address
405 Omni Dr
Hillsborough, NJ 08844-4527
Phone
(908) 281-5335
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3506 NJ Primary

Addresses

Primary practice location

405 Omni Dr
Hillsborough, NJ 08844-4527

Mailing address

295 Gemini Dr
Unit 2a
Hillsborough, NJ 08844-4976

Other identifiers 1

IdentifierTypeStateIssuer
P2738818OtherOXFORD INSURANCE

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040824000564 NJ Practitioner - Clinical Psychologist 6608840749 Practice locations: Hillsborough, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

405 Omni Dr
Hillsborough, NJ 08844-4527
Phone (908) 359-2133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3506NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730286782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 GEMINI DR",
            "address_2": "UNIT 2A",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 OMNI DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444527",
            "telephone_number": "908-281-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILICKI",
        "first_name": "BERNARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "3506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INSURANCE",
            "identifier": "P2738818",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.