NPIMap

Individual provider Active NPI

Janey Marie Belack, PA-C

  • Surgical Physician Assistant
  • New York, NY
National Provider Identifier
1265746408
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
014106 Issued in NY
Practice address
1 Gustave L Levy PL
Box 1023
New York, NY 10029-6504
Phone
(212) 305-2633
NPI assigned
Jul 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 014106 NY Primary

Addresses

Primary practice location

1 Gustave L Levy PL
Box 1023
New York, NY 10029-6504

Mailing address

646 Russell Snow Dr
River Vale, NJ 07675-6050
Phone (215) 630-3168

Other names 1

  • Janey Marie Quinn Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Janey.Belack@wmchealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201116002986 NY Practitioner - Physician Assistant 6002053717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

1190 5TH Ave
GP2W
New York, NY 10029-6503
Phone (212) 241-5646

1440 Madison Ave
New York, NY 10029-6508
Phone (212) 241-5646

5 E 98TH St
Cardiothoracic Surgery of Mount Sin
New York, NY 10029-6501
Phone (212) 241-5646

Hospital & facility affiliations

  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
014106NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 15, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 15, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Westchester Medical Center Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

1470 Madison Ave
Fl 3
New York, NY 10029
Phone (212) 241-2891

1190 5th Ave
#2W
New York, NY 10029
Phone (212) 241-5646

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: janey.belack@wmchealth.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1265746408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 RUSSELL SNOW DR",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076756050",
            "telephone_number": "215-630-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "BOX 1023",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "212-305-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELACK",
        "first_name": "JANEY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "014106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Janey.Belack@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1 Gustave L Levy Pl",
            "address_2": "Box 1023",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100296504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JANEY",
            "last_name": "QUINN",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.