Organization Active NPI

Neil L Bellet MD PC

  • Dermatology Physician
  • Bay Shore, NY
National Provider Identifier
1215191200
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
NEIL L BELLET MD PC
Practice address
387 E Main St
Bay Shore, NY 11706-8413
Phone
(631) 665-0328
Fax
(631) 665-0371
NPI assigned
Jul 18, 2008
Last updated
Oct 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Neil L Bellet, MDNPI 1457368292
Title
Owner
Phone
(631) 665-0328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

387 E Main St
Bay Shore, NY 11706-8413

Mailing address

387 E Main St
Bay Shore, NY 11706-8413
Phone (631) 665-0328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080811000000 NY Part B Supplier - Clinic/Group Practice 4789758681 Receives reassigned benefits from 1 practitioner
Practice locations: Bay Shore, NY

National Provider Directory

National Provider Directory

Locations

387 E Main St
Bay Shore, NY 11706
Phone (631) 665-0075

53 Brentwood Rd
Ste D
Bay Shore, NY 11706
Phone (516) 665-0328

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": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1215191200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068413",
            "telephone_number": "631-665-0328",
            "fax_number": "631-665-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068413",
            "telephone_number": "631-665-0328",
            "fax_number": "631-665-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL L BELLET MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "BELLET",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-665-0328",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.