Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivan Bilbao-Lavieja, PA

Individual provider Surgical Physician Assistant · NPI 1477593820

Ivan Bilbao-Lavieja, PA is a Physician Assistant in Maywood, New Jersey. Qualified in 2001, 25 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
25
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

113 W Essex St Ste 201
Maywood, NJ 07607-1023
Phone: (201) 251-7725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7035 113th St, Forest Hills, NY 11375-4651 — (718) 990-4648

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00179900 (NJ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 009941 (NY)

Record details

NPI number1477593820
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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