Belzo LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00477700 Issued in NJ

Legal business name

BELZO LLC

Doing business as

Rockaway Pharmacy and Compounding

Practice address

760 US Highway 46
Kenvil, NJ 07847-2643

Phone

(973) 625-0083

Fax

(973) 625-5095

NPI assigned

Sep 21, 2006

Last updated

Dec 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Greg Depaolo

Title

Owner

Phone

(973) 625-8558

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rockaway Pharmacy and Compounding Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1114025145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W MAIN ST",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663435",
            "telephone_number": "973-625-8558",
            "fax_number": "973-625-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 US HIGHWAY 46",
            "city": "KENVIL",
            "state": "NJ",
            "postal_code": "078472643",
            "telephone_number": "973-625-0083",
            "fax_number": "973-625-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELZO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "DEPAOLO",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-625-8558"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00477700",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148225",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockaway Pharmacy and Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aashitha Mary Alexander, M.D.
• Melanie Betancur, BSPHE,MPH,CPLD
• Diana Castaneda Parry, RN, RNFA
• Niki S Chaffee
• Katrina Carbonell Dela Cruz, PMHNP-BC
• Karen Follmer, LPN

• Community/Retail Pharmacy in Kenvil, NJ
• Providers in Kenvil, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.