Individual provider Active NPI

Melissa Sarah Beljous

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1447521794
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
024166 Issued in NY
Practice address
1013 Fulton St
Brooklyn, NY 11238-2409
Phone
(347) 871-7780
Fax
(887) 568-7556
NPI assigned
Jan 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 024166 NY Primary

Addresses

Primary practice location

1013 Fulton St
Brooklyn, NY 11238-2409

Mailing address

1013 Fulton St
Brooklyn, NY 11238-2409
Phone (347) 871-7780

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

State licenses

LicenseStateTypeSpecialty
024166NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beljour Massage LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1447521794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382409",
            "telephone_number": "347-871-7780",
            "fax_number": "887-568-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382409",
            "telephone_number": "347-871-7780",
            "fax_number": "887-568-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELJOUS",
        "first_name": "MELISSA",
        "middle_name": "SARAH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "024166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.