Robert S Bellassai, RN

Individual provider Active NPI Registered Nurse · Herkimer, NY

NPI 1104549534 · NPPES record last updated Sep 21, 2022

Key facts

NPI
1104549534
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
518916 (NY)
Practice address
301 N Washington Street, Herkimer County Mental Health
Suite 2470
Herkimer, NY 13350
Phone
(315) 867-1465
Fax
(315) 867-1469
NPI assigned
Sep 21, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
518916NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Herkimer County Current
since Sep 25, 2022
Accepting new patients
Herkimer County Past
since Sep 25, 2022
Accepting new patients

Locations

301 N Washington St
Ste 2470
Herkimer, NY 13350
Phone (315) 867-1465

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 518916 NY Yes

Addresses

Primary practice location

301 N Washington Street, Herkimer County Mental Health
Suite 2470
Herkimer, NY 13350

Mailing address

301 N Washington Street
Suite 2470
Herkimer, NY 13350
Phone (315) 867-1465

Other providers in Herkimer, NY

All providers in Herkimer, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.