Active NPI
Anatoly Belilovsky MD PLLC
- Pediatrics Physician
- Staten Island, NY
National Provider Identifier
1366697476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 176593
- Legal business name
- ANATOLY BELILOVSKY MD PLLC
- Practice address
- 690 Bay St
Staten Island, NY 10304-3830 - Phone
- (718) 815-7050
- Fax
- (718) 815-4889
- NPI assigned
- Nov 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anatoly Belilovsky, MD
- Title
- Medical Director
- Phone
- (718) 815-7050
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 176593 | NY | Primary |
Addresses
Primary practice location
690 Bay St
Staten Island, NY 10304-3830
Mailing address
690 Bay St
Staten Island, NY 10304-3830
Phone (718) 815-7050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01155691 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Anatoly Belilovsky MD PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1033385505
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1164497913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226966400000",
"number": "1366697476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 BAY ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103043830",
"telephone_number": "718-815-7050",
"fax_number": "718-815-4889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 BAY ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103043830",
"telephone_number": "718-815-7050",
"fax_number": "718-815-4889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANATOLY BELILOVSKY MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-18",
"last_updated": "2008-11-18",
"status": "A",
"authorized_official_last_name": "BELILOVSKY",
"authorized_official_first_name": "ANATOLY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "718-815-7050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "176593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01155691",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.