Individual provider Active NPI

Theresa A Bell, M.D.

  • Psychiatry Physician
  • Galloway, NJ
National Provider Identifier
1013002369
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA06145900 Issued in NJ
Practice address
310 Chris Gaupp Dr. Ste 105
Galloway, NJ 08205-4461
Phone
(609) 652-4040
Fax
(609) 652-5340
NPI assigned
Oct 4, 2006
Last updated
Nov 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA61459 NJ
Psychiatry Physician 2084P0800X 25MA06145900 NJ Primary

Addresses

Primary practice location

310 Chris Gaupp Dr. Ste 105
Galloway, NJ 08205-4461

Mailing address

310 Chris Gaupp Dr Ste 105
Galloway, NJ 08205-4461
Phone (609) 652-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118000403 NJ Practitioner - Psychiatry 6901860923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Jefferson Medical College of Thomas Jefferson University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ira M Trocki MD PAGroup PAC ID 9638061542, 4 clinicians

Practice addresses (Care Compare)

310 Chris Gaupp Dr
Suite 105
Galloway, NJ 08205-4461
Phone (609) 652-4040

631 Tilton Rd
Northfield, NJ 08225-1219
Phone (609) 645-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA61459NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ira M. Trocki, MD, PA CurrentSince Jan 20, 2024 Accepting new patients
Theresa a. Bell, MD LLC Psychiatry CurrentSince Jul 1, 1999 Accepting new patients
Trocki Surgi-Center PA Past Accepting new patients

Locations

310 Chris Gaupp Dr
Galloway, NJ 08205
Phone (609) 641-0012

310 Chris Gaupp Dr
Ste 105
Galloway, NJ 08205
Phone (609) 652-4040

631 Tilton Rd
Northfield, NJ 08225
Phone (609) 645-3000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1013002369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CHRIS GAUPP DR STE 105",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054461",
            "telephone_number": "609-652-4040",
            "fax_number": "609-652-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CHRIS GAUPP DR. STE 105",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054461",
            "telephone_number": "609-652-4040",
            "fax_number": "609-652-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "THERESA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA61459",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06145900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.