Organization Active NPI

Bellava Medspa Inc

  • Plastic and Reconstructive Surgery Physician
  • Bedford Hills, NY
National Provider Identifier
1447043419
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
BELLAVA MEDSPA INC
Practice address
182 Route 117 by Pass Rd
Bedford Hills, NY 10507-2140
Phone
(917) 279-9331
NPI assigned
May 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Mr. Nick Adams
Title
Owner
Phone
(917) 279-9331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

182 Route 117 by Pass Rd
Bedford Hills, NY 10507-2140

Mailing address

182 Route 117 by Pass Rd
Bedford Hills, NY 10507-2140
Phone (917) 279-9331

National Provider Directory

National Provider Directory

Locations

182 Route 117 by Pass Rd
Bedford Hills, NY 10507
Phone (917) 279-9331

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1447043419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 ROUTE 117 BY PASS RD",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105072140",
            "telephone_number": "917-279-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 ROUTE 117 BY PASS RD",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105072140",
            "telephone_number": "917-279-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAVA MEDSPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-279-9331",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.