Individual provider Active NPI

Dale Bellisfield, RN, RH(AHG)

  • Registered Nurse
  • Fair Lawn, NJ
National Provider Identifier
1134469133
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26NO11483800 Issued in NJ
Practice address
7 Ballard PL
Fair Lawn, NJ 07410-3601
Phone
(201) 797-2583
Fax
(201) 797-4123
NPI assigned
Feb 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NO11483800 NJ Primary

Addresses

Primary practice location

7 Ballard PL
Fair Lawn, NJ 07410-3601

Mailing address

7 Ballard PL
Fair Lawn, NJ 07410-3601
Phone (201) 797-2583

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NO11483800NJMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1134469133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BALLARD PL",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103601",
            "telephone_number": "201-797-2583",
            "fax_number": "201-797-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BALLARD PL",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103601",
            "telephone_number": "201-797-2583",
            "fax_number": "201-797-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLISFIELD",
        "first_name": "DALE",
        "name_prefix": "Ms.",
        "credential": "RN, RH(AHG)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO11483800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.