Bellardini Kosc and Pavlou MDS PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BELLARDINI KOSC AND PAVLOU MDS PA

Practice address

1130 McBride Avenue
West Paterson, NJ 07424

Phone

(973) 256-5557

Fax

(973) 256-5036

NPI assigned

Jun 24, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angelo G. Bellardini, MDNPI 1780680876

Title

President

Phone

(973) 256-5557

Specialties & licenses 3

Addresses

Other identifiers 4

Locations

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.

• Angelo G Bellardini, M.D.

  • Internal Medicine Physician
  • West Paterson, NJ
  • NPI 1780680876
  Authorized official Same address or phone

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285630194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 MCBRIDE AVENUE",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "07424",
            "telephone_number": "973-256-5557",
            "fax_number": "973-256-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 MCBRIDE AVENUE",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "07424",
            "telephone_number": "973-256-5557",
            "fax_number": "973-256-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLARDINI KOSC AND PAVLOU MDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BELLARDINI",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-256-5557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA0181",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0868546",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5862571",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1039300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brian J. Beagin, D.O.
• Angelo G Bellardini, M.D.
• Richard C Blumenfeld, DDS
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• Harleen Brar, MD
• Arlene Brofsky, LCSW

• Internal Medicine Physician in West Paterson, NJ
• Providers in West Paterson, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.