Healthcare Provider Details

I. General information

NPI: 1184603540
Provider Name (Legal Business Name): CAROL A BILINSKI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 S GREENVIEW RD
SCHUYLKILL HAVEN PA
17972-8642
US

IV. Provider business mailing address

4 S GREENVIEW RD
SCHUYLKILL HAVEN PA
17972-8642
US

V. Phone/Fax

Practice location:
  • Phone: 570-366-7337
  • Fax: 570-366-7367
Mailing address:
  • Phone: 570-366-7337
  • Fax: 570-366-7367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberMD051180L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD051180L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: