Provider Demographics
NPI:1629613021
Name:EKSARKO-BILBILI, ELINA (FNP)
Entity Type:Individual
Prefix:
First Name:ELINA
Middle Name:
Last Name:EKSARKO-BILBILI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ELINA
Other - Middle Name:
Other - Last Name:EKSARKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:411 BLOOMFIELD AVE APT B10
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-2020
Mailing Address - Country:US
Mailing Address - Phone:917-589-3884
Mailing Address - Fax:
Practice Address - Street 1:240 WILLIAMSON ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-3674
Practice Address - Country:US
Practice Address - Phone:908-350-4444
Practice Address - Fax:908-360-0490
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-10
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00924500363L00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty