Organization Active NPI

Roland L Belluscio, MD LLC

  • Cardiovascular Disease Physician
  • Red Bank, NJ
National Provider Identifier
1366975971
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ROLAND L BELLUSCIO, MD LLC
Practice address
280 Highway 35
Ste 101
Red Bank, NJ 07701-5900
Phone
(732) 268-8608
Fax
(732) 268-7862
NPI assigned
Apr 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Authorized official

Name
Roland L Belluscio, MDNPI 1477523314
Title
Manager/Member
Phone
(732) 268-8608

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

280 Highway 35
Ste 101
Red Bank, NJ 07701-5900

Mailing address

280 Highway 35
Ste 101
Red Bank, NJ 07701-5900
Phone (732) 868-8608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170525000610 NJ Part B Supplier - Clinic/Group Practice 5395012215 Receives reassigned benefits from 1 practitioner
Practice locations: Brick, NJ; Red Bank, NJ; Neptune, NJ; Holmdel, NJ

National Provider Directory

National Provider Directory

Locations

280 Highway 35
Ste 101
Red Bank, NJ 07701
Phone (732) 268-8608

Practitioners & affiliated clinicians

Practitioners 1

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": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1366975971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 HIGHWAY 35",
            "address_2": "STE 101",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015900",
            "telephone_number": "732-868-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 HIGHWAY 35",
            "address_2": "STE 101",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015900",
            "telephone_number": "732-268-8608",
            "fax_number": "732-268-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLAND L BELLUSCIO, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "BELLUSCIO",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "732-268-8608",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.