Lea Bellomo, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

293604 Issued in NY

Practice address

4601 N Federal Hwy
Boca Raton, FL 33431-5133

Phone

(561) 462-4808

NPI assigned

Apr 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbellomo@hiemail.healtheconnections.org

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.

• Dermatology of Boca LLC

  • Dermatology Physician
  • Boca Raton, FL
  • NPI 1811062672
  Medicare reassignment NPD
• US Path Labs LLC

  • Clinical Medical Laboratory
  • Boca Raton, FL
  • NPI 1720103013
  NPD (past)

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1154749521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTCHESTER AVE",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772547",
            "telephone_number": "914-848-8840",
            "fax_number": "914-848-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315133",
            "telephone_number": "561-462-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLOMO",
        "first_name": "LEA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "293604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05210999",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belle-Ish, LLC. (Care365 Medical Supply)
• Nelsa Bellefleur
• Philomena A Bellero-Robare, B.C.O.
• Joanne Bello, RBT
• Monica Carmen Bello, M.A. SLP
• Brent William Bellotte, M.D.
• Aleth Belmonte-Santos, LCSW
• Jonathan Belolo, LCSW
• Scott Belongie, PTA
• Shanee Ben-Arieh, M.S., CCC-SLP

• Dermatology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.