Individual provider Active NPI

David Joel Bikoff, MD

  • Plastic Surgery Physician
  • Hackensack, NJ
National Provider Identifier
1861543662
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MA36206 Issued in NJ
Practice address
146 Route 17 North
3Rd Floor
Hackensack, NJ 07601
Phone
(201) 488-8584
Fax
(201) 488-7572
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MA36206 NJ Primary

Addresses

Primary practice location

146 Route 17 North
3Rd Floor
Hackensack, NJ 07601

Mailing address

146 Route 17 North
3Rd Floor
Hackensack, NJ 07601
Phone (201) 488-8584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA36206NJMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Ambulatory Surgery Center, LLC CurrentSince Feb 25, 2010 Accepting new patients

Locations

146 N State Rt 17
Ste 3
Hackensack, NJ 07601
Phone (201) 402-7802

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1861543662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 ROUTE 17 NORTH",
            "address_2": "3RD FLOOR",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-488-8584",
            "fax_number": "201-488-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 ROUTE 17 NORTH",
            "address_2": "3RD FLOOR",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-488-8584",
            "fax_number": "201-488-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIKOFF",
        "first_name": "DAVID",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "MA36206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.