Individual provider Active NPI

Angeles E Ocson-Belleza, MD

  • Internal Medicine Physician
  • Woodbridge, CT
National Provider Identifier
1386907368
Registry record updated Jun 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
016856 Issued in CT
Practice address
34 Prospect CT
Woodbridge, CT 06525-1509
Phone
(203) 389-0731
Fax
(203) 389-0731
NPI assigned
Jun 24, 2012
Last updated
Jun 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 016856 CT Primary

Addresses

Primary practice location

34 Prospect CT
Woodbridge, CT 06525-1509

Mailing address

34 Prospect CT
Woodbridge, CT 06525-1509
Phone (203) 389-0731

Other identifiers 1

IdentifierTypeStateIssuer
016856MedicaidCT

Other names 1

  • Angeles O Belleza Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
016856CTMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340496000000",
    "number": "1386907368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 PROSPECT CT",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251509",
            "telephone_number": "203-389-0731",
            "fax_number": "203-389-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PROSPECT CT",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251509",
            "telephone_number": "203-389-0731",
            "fax_number": "203-389-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCSON-BELLEZA",
        "first_name": "ANGELES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-24",
        "last_updated": "2012-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "016856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016856",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELES",
            "last_name": "BELLEZA",
            "middle_name": "O",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodbridge, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2012; 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.