Mary-Rose Tibayan Belostrino, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05731800 Issued in NJ

Practice address

254 Easton Ave
New Brunswick, NJ 08901-1766

Phone

(732) 745-8522

NPI assigned

Mar 2, 2020

Last updated

Mar 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
• Direct secure messaging: mary.rose.belostrino.1@8568.direct.athenahealth.com

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.

• Saint Peter's University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  Medicare reassignment NPD
• Saint Peter's University Hospital

  dba Saint Peter's Behavioral Health Group

  • Clinical Psychologist
  • New Brunswick, NJ
  • NPI 1376079590
  NPD

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1245864040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-745-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-745-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELOSTRINO",
        "first_name": "MARY-ROSE",
        "middle_name": "TIBAYAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05731800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victorianna Belcastro, DNP, APRN, AGPCNP-C
• Kahlyn Michiko Bell, MD
• Adrianna Bella
• Joshua Lao Belmonte, LSW
• Rudrani Belnekar, M.D.
• Jerry Belsh, MD
• Kristina Beluskov Shchedrin
• Toni Beninato, M.D.
• Stefano Benincasa, MD
• Kendra Lee Benitez, O.T.

• Clinical Social Worker in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.