NPIMap

Individual provider Active NPI

Kenneth Belitsis, M.D.

  • Gastroenterology Physician
  • Eatontown, NJ
National Provider Identifier
1427157155
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA67435 Issued in NJ
Practice address
142 State Route 35 S
Eatontown, NJ 07724-1876
Phone
(732) 389-5004
Fax
(732) 389-1850
NPI assigned
Sep 21, 2006
Last updated
Jul 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MA67435 NJ Primary

Addresses

Primary practice location

142 State Route 35 S
Eatontown, NJ 07724-1876

Mailing address

142 State Route 35 S
Eatontown, NJ 07724-1876
Phone (732) 389-5007

Other identifiers 1

IdentifierTypeStateIssuer
8305706MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040603000028 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 2365424488 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Rutgers New Jersey Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians
Barnabas Health Medical Group, PCGroup PAC ID 0648172809, 257 clinicians

Practice addresses (Care Compare)

1640 Route 88 W 202
Atlantic Coast Gastroenterology Assoc
Brick, NJ 08724-3068
Phone (732) 458-8300

1945 Route 33
K Havnanian Childrens Hospital
Neptune, NJ 07753
Phone (732) 413-3626

1945 State Hwy 33
Neptune, NJ 07753-4859
Phone (732) 775-5500

300 2ND Ave
Suite Sh001
Long Branch, NJ 07740-6303
Phone (732) 923-7790

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy128
Upper gastrointestinal (GI) endoscopy for acid reflux259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 22, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 22, 2024 Accepting new patients
Allied Digestive Health, LLC Gastroenterology CurrentSince Jan 1, 2015 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Jan 3, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC PastSince Jun 12, 2018 Accepting new patients
University Surgical Associates (Om) PastSince Aug 18, 2019 Accepting new patients
Atlantic Coast Gastroenterology Associates Gastroenterology Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

300 2nd Ave
Ste SH1
Long Branch, NJ 07740
Phone (732) 663-0300

1301 Route 72 W
Ste 300
Manahawkin, NJ 08050
Phone (609) 597-6513

195 Route 9
Ste 106
Manalapan, NJ 07726
Phone (732) 360-3522

1945 State Route 33
#K
Neptune, NJ 07753
Phone (732) 413-3626

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

1912 State Route 35
Ste 201
Oakhurst, NJ 07755
Phone (732) 389-5004

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

187 State Route 36
Ste 230
West Long Branch, NJ 07764
Phone (732) 222-3805

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/
  • Direct secure messaging: kenneth.belitsis.1@24721.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1427157155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 STATE ROUTE 35 S",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241876",
            "telephone_number": "732-389-5007",
            "fax_number": "732-389-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 STATE ROUTE 35 S",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241876",
            "telephone_number": "732-389-5004",
            "fax_number": "732-389-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELITSIS",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA67435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8305706",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.