Individual provider Active NPI

Neil Louis Bellet, MD

  • Dermatology Physician
  • Bay Shore, NY
National Provider Identifier
1457368292
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
12747310 1 Issued in NY
Practice address
53 Brentwood Rd
Suite D
Bay Shore, NY 11706-6943
Phone
(631) 665-0328
Fax
(631) 665-0371
NPI assigned
Aug 2, 2006
Last updated
Feb 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 12747310 1 NY Primary

Addresses

Primary practice location

53 Brentwood Rd
Suite D
Bay Shore, NY 11706-6943

Mailing address

53 Brentwood Rd
Suite D
Bay Shore, NY 11706-6943
Phone (631) 665-0328

Other identifiers 1

IdentifierTypeStateIssuer
1129OtherVYTRA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080807000111 NY Practitioner - Dermatology 0042384174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Virginia School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neil L. Bellet M.D. and Lawrence M. Wells M.D.,LLPGroup PAC ID 6507930633, 2 clinicians

Practice addresses (Care Compare)

1735 N Ocean Ave
Suite C
Medford, NY 11763-2671
Phone (631) 475-5550

53 Brentwood Rd
Suite D
Bay Shore, NY 11706-6943
Phone (631) 665-0328

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions2567
Removal or shaving of skin growth49
Skin biopsy248

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12747310 1NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neil L. Bellet M.D. and Lawrence M. Wells M.D.,LLP Dermatology CurrentSince Jan 1, 2000 Accepting new patients
Neil L Bellet MD PC Dermatology CurrentSince Jul 1, 1980 Accepting new patients

Locations

387 E Main St
Bay Shore, NY 11706
Phone (631) 665-0328

53 Brentwood Rd
Ste D
Bay Shore, NY 11706
Phone (516) 665-0328

1735 N Ocean Ave
Ste C
Medford, NY 11763
Phone (516) 475-5550

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1457368292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 BRENTWOOD RD",
            "address_2": "SUITE D",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066943",
            "telephone_number": "631-665-0328",
            "fax_number": "631-665-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 BRENTWOOD RD",
            "address_2": "SUITE D",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066943",
            "telephone_number": "631-665-0328",
            "fax_number": "631-665-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLET",
        "first_name": "NEIL",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "12747310 1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "1129",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.