Osler Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OSLER MEDICAL GROUP LLC

Practice address

288 Boulevard Ste 2a
Hasbrouck Heights, NJ 07604-1319

Phone

(201) 288-6781

Fax

(201) 288-2734

NPI assigned

Jun 14, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Bellavia, MD

Title

Chairman

Phone

(201) 426-6526

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1023502952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 BOULEVARD STE 2A",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041319",
            "telephone_number": "201-288-6781",
            "fax_number": "201-288-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 BOULEVARD STE 2A",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041319",
            "telephone_number": "201-288-6781",
            "fax_number": "201-288-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSLER MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "BELLAVIA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "201-426-6526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Hasbrouck Heights, NJ
• Providers in Hasbrouck Heights, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.