Ivan Bilbao Lavieja (NPI# 1477593820, PAC ID# 3779689666) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1477593820 |
| PAC ID by PECOS | 3779689666 |
| Professional Enrollment ID | I20071023000634 |
| Full Name | Ivan Bilbao Lavieja |
| Organization Legal Name | JULIE M KELLER MD LLC |
| Address |
113 Essex St Maywood NJ 07607-1020 |
| Phone Number | 2012260145 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5799916276 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310001 | HACKENSACK UNIVERSITY MEDICAL CENTER |
| 310017 | CHILTON MEDICAL CENTER |
| 310054 | HACKENSACK-UMC MOUNTAINSIDE |
| Address | Phone | Organization |
|---|---|---|
| 113 Essex St, Maywood, NJ 07607-1020 | 2012260145 | JULIE M KELLER MD LLC |
| 113 Essex St, Suite 201, Maywood, NJ 07607-1020 | 2012260145 | JULIE M KELLER MD LLC |
| Organization Legal Name | JULIE M KELLER MD LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jesse William Allert | Orthopedic Surgery | Julie M Keller Md LLC | 113 Essex St, Suite 201, Maywood, NJ 07607-1020 |
| Julie M Keller | Orthopedic Surgery | Julie M Keller Md LLC | 113 Essex St, Suite 201, Maywood, NJ 07607-1020 |
| Stephen R Lindholm | Orthopedic Surgery | Julie M Keller Md LLC | 113 Essex St, Suite 201, Maywood, NJ 07607-1020 |
| Street Address |
113 ESSEX ST |
| City | MAYWOOD |
| State | NJ |
| Zip | 07607-1020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard M Winters | Plastic and Reconstructive Surgery | Aesthetic and Reconstructive Surgeons, LLC | 113 Essex St, Suite 202, Maywood, NJ 07607-1020 |
| Jesse William Allert | Orthopedic Surgery | Julie M Keller Md LLC | 113 Essex St, Suite 201, Maywood, NJ 07607-1020 |
| Julie M Keller | Orthopedic Surgery | Julie M Keller Md LLC | 113 Essex St, Suite 201, Maywood, NJ 07607-1020 |
| Stephanie M Cohen | Plastic and Reconstructive Surgery | Aesthetic and Reconstructive Surgeons, LLC | 113 Essex St, Suite 202, Maywood, NJ 07607-1020 |
| Stephen R Lindholm | Orthopedic Surgery | Julie M Keller Md LLC | 113 Essex St, Suite 201, Maywood, NJ 07607-1020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward L Farkas | Psychiatry | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Minsun Lee | Psychologist, Clinical | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Finbarr Chukwuemeka Ntigbu | Psychiatry | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Freda Martin | Clinical Social Worker | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Magdalena Spariosu | Psychiatry | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Tamkeen Lally | Psychiatry | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Michael Y Lozovatsky | Psychiatry | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Diane Jasmin | Psychiatry | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Zuleika A Arroyo | Psychiatry | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Janet H Yueh | Plastic and Reconstructive Surgery | 113 W Essex St, Suite 202, Maywood, NJ 07607-1020 | |
| Find all physicians in zip 07607 | |||
| City | MAYWOOD |
| Zip Code | 07607 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MAYWOOD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Ivan Bilbao Lavieja.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.