Spartaco Bellomo M.D.P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA03988000 Issued in NJ

Legal business name

SPARTACO BELLOMO M.D.P.A.

Practice address

142 Palisade Ave
Suite 209
Jersey City, NJ 07306-1133

Phone

(201) 653-8336

Fax

(201) 653-6697

NPI assigned

Dec 20, 2010

Last updated

Dec 20, 2010By 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

Ms. Sophie Ciszewski, R.N.

Title

Office Manager

Phone

(201) 653-8336

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Spartaco Bellomo, M.D.P.A.

  • Infectious Disease Physician
  • Jersey City, NJ
  • NPI 1790779833
  Medicare reassignment NPD

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1326341033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 PALISADE AVENUE",
            "address_2": "SUITE 209",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061108",
            "telephone_number": "201-653-8336",
            "fax_number": "201-653-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 PALISADE AVE",
            "address_2": "SUITE 209",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061133",
            "telephone_number": "201-653-8336",
            "fax_number": "201-653-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTACO BELLOMO M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "CISZEWSKI",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-653-8336",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03988000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1425706",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sovereign Medical Group, LLC
• Sosana Noshi Sowiha, PHARMD
• Fnu Soxi, M.D.
• Sara Soyeju, RDN
• Samantha Leslie Sparta, AGAC-NP
• Speak-Eat-Smile Therapy
• Myriam Spears, D.O.
• Special Procedures
• Spectrum Health Care, Inc.
• Spectrum Health Care, Inc.

• Specialist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.