Courtney Belluzzi
Individual provider Active NPI Nurse Practitioner · Cortlandt Manor, NY
NPI 1225433014 · NPPES record last updated Oct 26, 2018
Key facts
- NPI
- 1225433014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 337700 (NY)
- Practice address
- 110 Oregon Rd
Cortlandt Manor, NY 10567-1232 - Phone
- (518) 339-0344
- NPI assigned
- Oct 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
92 Sarles LN
Pleasantville, NY 10570-1920
Phone (518) 339-0344
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170818000100 | NY | Practitioner - Nurse Practitioner | 4789956202 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CB Family Health NP PLLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 337700 | NY | Yes |
Addresses
Primary practice location
110 Oregon Rd
Cortlandt Manor, NY 10567-1232
Mailing address
404 Ludingtonville Rd
Holmes, NY 12531-4626
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225433014 | Medicaid | NY |
Other providers in Cortlandt Manor, NY
- Pickward Bash
- Becker Medical, PC
- Richard H Becker
- Jeffrey Beechert
- Sarah Elaine Begue
- Yanka Benitez
- Laura Ann Bentivenga
- Natalie Susanne Berger
- Rochelle Berger
- Antoinette Berkeley-Gsegnet
All providers in Cortlandt Manor, NY · Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.