Michael L Bilof, M.D.
Individual provider Active NPI Surgery Physician · Millburn, NJ
NPI 1891723136 · NPPES record last updated Sep 15, 2009
Key facts
- NPI
- 1891723136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MA056419 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040818001044 | NJ | Practitioner - Vascular Surgery | 7113990938 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA056419 | NJ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garden State Bariatrics & Wellness Center,LLC | Current |
Accepting new patients | |
| H Stephen Fletcher MD PA | Surgery | Past | Accepting new patients |
| Garden State Bariatrics & Wellness Center | Surgery | Past | Accepting new patients |
| Empire Medical Associates, P.C. | 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
- https://fhir-myrecord.cerner.com/r4/dc524d3a-122f-4bf8-8bb3-afd287ec7c5e/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MA056419 | NJ | Yes |
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
Other providers in Millburn, NJ
- Beth Israel Medicial Center
- Beth P Jassin
- Jay Nalin Bhuta
- Matthew Mateusz Biernat
- Mubashir Shabil Billah
- Arie Birkenfeld
- Charly Anne Bisso
- Howard L Blank
- Amy Block
- Jeffrey D Blonstein
All providers in Millburn, NJ · Surgery Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.