Active NPIIndividual provider

Ivan Bilbao-Lavieja, PA

Physician Assistant in Maywood, New Jersey

NPI Number1477593820
Practice location
113 W Essex St, Ste 201, Maywood, NJ 07607-1023
Fax
—
Last updated
December 11, 2024

Ivan Bilbao-Lavieja is a Physician Assistant based in Maywood, NJ. Ivan Bilbao-Lavieja practices in Maywood, NJ and has the professional credentials of PA. The NPI Number for Ivan Bilbao-Lavieja is 1477593820 and holds a License No. 009941 (NY). The current practice location address for Ivan Bilbao-Lavieja is 113 W Essex St, Ste 201, Maywood, NJ 07607-1023 and can be reached out via phone at 201-251-7725.

Provider Profile Details

NPI Number
1477593820
Provider Name
Ivan Bilbao-Lavieja
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
113 W Essex St, Ste 201, Maywood, NJ 07607-1023
Phone Number
201-251-7725
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 7, 2006
Last Update Date
December 11, 2024
Certification Date
December 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
113 W Essex St
Ste 201
Maywood, NJ 07607-1023
Zip
07607-1023
Phone Number
201-251-7725
Maywood, NJ 07607Get directions →

Provider Business Mailing Address Details

Address
331 Newman Springs RD
Bldg 2, Ste 220
Red Bank, NJ 07701-5688
City
Red Bank
State
NJ
Zip
07701-5688

License Information

License Number (1)
009941
License State (1)
NY
Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X
License Number (2)
25MP00179900
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physician Assistants near Maywood, NJ

View all Physician Assistants in Maywood →

Frequently Asked Questions

What is the NPI number of Ivan Bilbao-Lavieja, PA?

The NPI number of Ivan Bilbao-Lavieja, PA is 1477593820. It was assigned on June 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Ivan Bilbao-Lavieja, PA?

Ivan Bilbao-Lavieja, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 009941.

Where does Ivan Bilbao-Lavieja, PA practice?

The practice location is 113 W Essex St, Ste 201, Maywood, NJ 07607-1023. The office can be reached at 201-251-7725 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477593820 directly on the NPPES registry website.

Browse related providers