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CHARLY ANNE BISSO
NPI 1497455695
Physician Assistant in Millburn, NJ

Active since March 06, 2023PECOS Enrolled
90 MILLBURN AVE STE 206, MILLBURN, NJ 07041(973) 763-7546 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 26, 2024, May 31, 2023, May 4, 2023 and 1 more (4 updates tracked since 2023).

About Charly Anne Bisso NPPES

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

CHARLY ANNE BISSO (NPI 1497455695) is an individual physician assistant in Millburn, New Jersey, licensed in New Jersey (25MP00770400) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497455695
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCHARLY ANNE BISSO
Location Address90 MILLBURN AVE STE 206Millburn, NJ 07041-1933
Mailing Address124 Tabor StBrentwood, NY 11717-7912 · (917) 572-0227
Phone(973) 763-7546
Sole ProprietorNo
Enumeration DateMarch 6, 2023
Last NPPES UpdateDecember 26, 20244 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
✔ NPI 1497455695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NJ · 25MP00770400
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
90 MILLBURN AVE STE 206, Millburn, NJ 07041
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charly Anne Bisso is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 07041 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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 4

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

DR. JESSICA CLEARY DNP
Nurse Practitioner (Family)
90 MILLBURN AVE STE 206
MILLBURN, NJ 07041
Essex County (973) 763-7546
STEVEN OVADIA
Plastic Surgery
90 MILLBURN AVE STE 206
MILLBURN, NJ 07041
Essex County (201) 310-3665
OVADIA PLASTIC SURGERY LLC
Plastic Surgery
90 MILLBURN AVE STE 206
MILLBURN, NJ 07041
Essex County (201) 310-3665
ARIANA H. BROWN PA-C
Physician Assistant
90 MILLBURN AVE STE 206
MILLBURN, NJ 07041
Essex County (973) 763-7546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charly Bisso's NPI number?

The NPI number for Charly Bisso is 1497455695. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Charly Bisso located?

Charly Bisso practices at 90 Millburn Ave Ste 206, Millburn, NJ 07041. The listed phone number is (973) 763-7546.

What is Charly Bisso's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Charly Bisso enrolled in Medicare?

Yes. Charly Bisso is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charly Bisso was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.