Active NPI
Nicholas Belevich, PA-C
- Medical Physician Assistant
- Mount Holly, NJ
National Provider Identifier
1245708742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 175 Madison Ave
Mount Holly, NJ 08060-2038 - Phone
- (609) 914-6000
- NPI assigned
- Nov 2, 2018
- Last updated
- Oct 20, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | NU | Primary |
Addresses
Primary practice location
175 Madison Ave
Mount Holly, NJ 08060-2038
Mailing address
1311 Creek Rd
Furlong, PA 18925-1343
Phone (267) 981-6627
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nbelevich84082@directvirtua.org | ||
| Direct Messaging Address | nbelevich84082@directvirtua.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.91 of 100
- Quality
- 73.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Virtua Medical Group, PA | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
100 Bowman Dr
Fl 1
Voorhees, NJ 08043
Phone (856) 247-2645
3400 Civic Center Blvd
#2
Philadelphia, PA 19104
Phone (215) 615-0063
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
Interoperability endpoints
- nbelevich84082@directvirtua.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- Philadelphia, PA
- NPI 1679677975
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Urgent Care Clinic/Center
- Mullica Hill, NJ
- NPI 1336560432
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hospital of the University of Pennsylvania
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1245708742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 CREEK RD",
"city": "FURLONG",
"state": "PA",
"postal_code": "189251343",
"telephone_number": "267-981-6627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MADISON AVE",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080602038",
"telephone_number": "609-914-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELEVICH",
"first_name": "NICHOLAS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-02",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nbelevich84082@directvirtua.org",
"affiliation": "N",
"address_1": "175 Madison Ave",
"city": "Mount Holly",
"state": "NJ",
"country_code": "US",
"postal_code": "080602038",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nbelevich84082@directvirtua.org",
"affiliation": "N",
"address_1": "100 Bowman Dr Fl 1",
"city": "Voorhees",
"state": "NJ",
"country_code": "US",
"postal_code": "080439612",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mount Holly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.