NPIMap

Organization Active NPI

Cross County Medical Care PC

  • Internal Medicine Physician
  • Bellerose, NY
National Provider Identifier
1467680751
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
221774 Issued in NY
Legal business name
CROSS COUNTY MEDICAL CARE PC
Practice address
23811 Braddock Ave FL 1
Bellerose, NY 11426-1147
Phone
(718) 354-8300
Fax
(718) 347-9100
NPI assigned
Jun 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Dr. Marie Alixe Belotte, M.D.NPI 1205840022
Title
President
Phone
(516) 641-0600

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 221774 NY Primary

Addresses

Primary practice location

23811 Braddock Ave FL 1
Bellerose, NY 11426-1147

Mailing address

793 N Ascan St
Elmont, NY 11003-4621
Phone (516) 641-0600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100316000358 NY Part B Supplier - Clinic/Group Practice 7214062280 Receives reassigned benefits from 6 practitioners
Practice locations: Bellerose, NY

National Provider Directory

National Provider Directory

Locations

23811 Braddock Ave
Fl 1
Bellerose, NY 11426
Phone (718) 354-8300

804 Meacham Ave
Fl 1
Elmont, NY 11003

Practitioners & affiliated clinicians

Practitioners 6

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": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1467680751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 N ASCAN ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034621",
            "telephone_number": "516-641-0600",
            "fax_number": "718-347-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23811 BRADDOCK AVE FL 1",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261147",
            "telephone_number": "718-354-8300",
            "fax_number": "718-347-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS COUNTY MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "BELOTTE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ALIXE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-641-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.