Individual provider Active NPI

Michael L Bilof, M.D.

  • Surgery Physician
  • Millburn, NJ
National Provider Identifier
1891723136
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA056419 Issued in NJ
Practice address
225 Millburn Ave
Suite 204
Millburn, NJ 07041-1737
Phone
(973) 218-1990
Fax
(973) 629-1274
NPI assigned
Jun 28, 2006
Last updated
Sep 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MA056419 NJ Primary

Addresses

Primary practice location

225 Millburn Ave
Suite 204
Millburn, NJ 07041-1737

Mailing address

225 Millburn Ave
Suite 204
Millburn, NJ 07041-1737
Phone (973) 218-1990

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040818001044 NJ Practitioner - Vascular Surgery 7113990938 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056419NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Bariatrics & Wellness Center,LLC CurrentSince May 8, 2007 Accepting new patients
H Stephen Fletcher MD PA Surgery Past Accepting new patients
Empire Medical Associates, P.C. Past Accepting new patients
Garden State Bariatrics & Wellness Center Surgery Past Accepting new patients

Locations

225 Millburn Ave
Ste 204
Millburn, NJ 07041
Phone (973) 218-1990

1430 Hooper Ave
Ste 203
Toms River, NJ 08753
Phone (732) 473-9532

1500 Pleasant Valley Way
Ste 302
West Orange, NJ 07052
Phone (973) 324-0988

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/dc524d3a-122f-4bf8-8bb3-afd287ec7c5e/

Organizations & group practices 4

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1891723136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE",
            "address_2": "SUITE 204",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411737",
            "telephone_number": "973-218-1990",
            "fax_number": "973-629-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE",
            "address_2": "SUITE 204",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411737",
            "telephone_number": "973-218-1990",
            "fax_number": "973-629-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILOF",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA056419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.