Organization Active NPI

Belmont Aesthetic & Reconstructive Plastic Surgery

  • Plastic Surgery Physician
  • Chevy Chase, MD
National Provider Identifier
1306863329
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
BELMONT AESTHETIC & RECONSTRUCTIVE PLASTIC SURGERY
Practice address
5530 Wisconsin Ave
Suite 818
Chevy Chase, MD 20815
Phone
(301) 654-5666
Fax
(301) 657-5638
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Authorized official

Name
Jules Feledy Jr., MDNPI 1508883521
Title
President
Phone
(301) 654-5666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

5530 Wisconsin Ave
Suite 818
Chevy Chase, MD 20815

Mailing address

5530 Wisconsin Avenue
Suite 818
Chevy Chase, MD 20815
Phone (301) 654-5666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061025000685 DC Part B Supplier - Clinic/Group Practice 3678570173 Receives reassigned benefits from 2 practitioners
Practice locations: Chevy Chase, MD
O20180530001003 VA Part B Supplier - Clinic/Group Practice 3678570173 Receives reassigned benefits from 2 practitioners
Practice locations: Stafford, VA

National Provider Directory

National Provider Directory

Locations

5530 Wisconsin Ave
Ste 818
Chevy Chase, MD 20815
Phone (301) 654-5666

2071 Richmond Hwy
Stafford, VA 22554

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1306863329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVENUE",
            "address_2": "SUITE 818",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "20815",
            "telephone_number": "301-654-5666",
            "fax_number": "301-654-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE",
            "address_2": "SUITE 818",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "20815",
            "telephone_number": "301-654-5666",
            "fax_number": "301-657-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT AESTHETIC & RECONSTRUCTIVE PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "FELEDY",
        "authorized_official_first_name": "JULES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-654-5666",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.