SANDRA H BISPO MD
NPI 1194803296
Pediatrics in Sewell, NJ

Q: What is Sandra Bispo's NPI number?

The NPI number for Sandra Bispo is 1194803296. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Q: What is Sandra Bispo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Bispo was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 02, 2006PECOS Enrolled

405 HURFFVILLE CROSSKEYS RD STE 203, SEWELL, NJ 08080(856) 582-0033(856) 582-2305 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sandra H Bispo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA H BISPO MD (NPI 1194803296) is an individual pediatrics provider in Sewell, New Jersey, licensed in New Jersey (MAO6884500) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1194803296

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSANDRA H BISPOCredential: MD

Location Address405 HURFFVILLE CROSSKEYS RD STE 203Sewell, NJ 08080-9344

Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 582-0033 · Fax (856) 582-2305

Phone(856) 582-0033

Fax(856) 582-2305

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateNovember 2, 2006

Last NPPES UpdateFebruary 9, 2026

NPPES CertifiedFebruary 9, 2026

✔ NPI 1194803296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NJ · MAO6884500✔ Licensed in CA · A85923

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

405 HURFFVILLE CROSSKEYS RD STE 203, Sewell, NJ 08080

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Secondary Practice Locations 3

Location 142 E Laurel Rd Ste 3500Stratford, NJ 08084-1354 · Phone (856) 566-7040 · Fax (856) 566-6826

Location 21318 S Main RoadVineland, NJ 08360 · Phone (856) 691-8585 · Fax (856) 691-8489

Location 31474 Tanyard Rd Ste D102Sewell, NJ 08080-4222 · Phone (856) 566-7045 · Fax (856) 566-6850

Other Identifiers 1

Medicaid0031071NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra H Bispo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749283968

PECOS Enrollment IDI20251119004129

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL JOSEPH KINNEY CRNP

Nurse Practitioner (Pediatrics)