Active NPI
Bellava Medspa Inc
- Plastic and Reconstructive Surgery Physician
- Bedford Hills, NY
National Provider Identifier
1447043419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 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 DirectoryLocations
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.