Individual provider Active NPI

Jefffrey Howard Belmont, M.D.

  • Otolaryngology Physician
  • New Rochelle, NY
National Provider Identifier
1124009048
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
155995 Issued in NY
Practice address
41 Lockwood Ave
New Rochelle, NY 10801-5023
Phone
(212) 517-8299
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 155995 NY Primary

Addresses

Primary practice location

41 Lockwood Ave
New Rochelle, NY 10801-5023

Mailing address

41 Lockwood Ave
New Rochelle, NY 10801-5023
Phone (646) 345-7073

Other identifiers 1

IdentifierTypeStateIssuer
00826224MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050328000811 NY Practitioner - Otolaryngology 5193771665 Practice locations: New Rochelle, NY; Far Rockaway, NY; Brooklyn, NY; Beacon, NY

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
State University of New York Downstate Medical Center, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

41 Lockwood Ave
New Rochelle, NY 10801-5023
Phone (646) 345-7073

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
155995NYMDOtolaryngology Physician

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1124009048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 LOCKWOOD AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015023",
            "telephone_number": "646-345-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 LOCKWOOD AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015023",
            "telephone_number": "212-517-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELMONT",
        "first_name": "JEFFFREY",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "155995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00826224",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.