Organization Active NPI

Christian Bellissimo, MSW,LCSW, RPT, LLC

  • Clinical Social Worker
  • Shrewsbury, NJ
National Provider Identifier
1184369977
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHRISTIAN BELLISSIMO, MSW,LCSW, RPT, LLC
Practice address
179 Avenue at the CMN Ste 103a
Shrewsbury, NJ 07702-4804
Phone
(732) 609-7272
NPI assigned
May 5, 2022
Last updated
May 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Christian Bellissimo, LCSWNPI 1831486406
Title
Owner
Phone
(732) 609-7272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

179 Avenue at the CMN Ste 103a
Shrewsbury, NJ 07702-4804

Mailing address

179 Avenue at the CMN Ste 103a
Shrewsbury, NJ 07702-4804
Phone (732) 609-7272

Other identifiers 1

IdentifierTypeStateIssuer
44SC04658900OtherNJLICENSE

National Provider Directory

National Provider Directory

Locations

179 Avenue At the Cmn
Ste 103A
Shrewsbury, NJ 07702
Phone (732) 609-7272

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1184369977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 AVENUE AT THE CMN STE 103A",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024804",
            "telephone_number": "732-609-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 AVENUE AT THE CMN STE 103A",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024804",
            "telephone_number": "732-609-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN BELLISSIMO, MSW,LCSW, RPT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "BELLISSIMO",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-609-7272",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "44SC04658900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.