Provider Demographics
NPI:1114974474
Name:BILEK, ALENA (MD)
Entity Type:Individual
Prefix:
First Name:ALENA
Middle Name:
Last Name:BILEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 OVERLOOK AVE
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-2205
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:130 OVERLOOK AVE
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-2205
Practice Address - Country:US
Practice Address - Phone:201-487-5944
Practice Address - Fax:201-487-5944
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA44991208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0102764001OtherAMERIHEALTH HMO ID
NJ0953300Medicaid
NJ923318OtherHEALTH NET
NJ0102764001OtherAMERIHEALTH HMO ID
NJBI449115Medicare ID - Type Unspecified