Organization Active NPI

Osler at Home Inc

  • Family Medicine Physician
  • Hasbrouck Heights, NJ
National Provider Identifier
1447764717
Registry record updated Nov 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OSLER AT HOME INC
Practice address
288 Boulevard Ste 2
Hasbrouck Heights, NJ 07604-1319
Phone
(201) 426-6554
NPI assigned
Nov 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2017

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

Authorized official

Name
Dr. Thomas S Bellavia, MDNPI 1750347449
Title
President
Phone
(201) 426-6554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

288 Boulevard Ste 2
Hasbrouck Heights, NJ 07604-1319

Mailing address

288 Boulevard Ste 2
Hasbrouck Heights, NJ 07604-1319
Phone (201) 426-6554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180123002463 NJ Part B Supplier - Clinic/Group Practice 8628337433 Receives reassigned benefits from 1 practitioner
Practice locations: Hasbrouck Heights, NJ

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25366/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511568000000",
    "number": "1447764717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 BOULEVARD STE 2",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041319",
            "telephone_number": "201-426-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 BOULEVARD STE 2",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041319",
            "telephone_number": "201-426-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSLER AT HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-25",
        "last_updated": "2017-11-25",
        "status": "A",
        "authorized_official_last_name": "BELLAVIA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-426-6554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hasbrouck Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.