Osler Health Aco LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

25MA02163600 Issued in NJ

Legal business name

OSLER HEALTH ACO LLC

Practice address

288 Boulevard
Hasbrouck Heights, NJ 07604-1318

Phone

(201) 341-4485

Fax

(201) 288-4575

NPI assigned

Aug 4, 2015

Organization subpart

No

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

Authorized official

Name

Thomas S Bellavia, MD

Title

Chairman

Phone

(201) 288-6781

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1538545306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 BOULEVARD",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041318",
            "telephone_number": "201-341-4485",
            "fax_number": "201-288-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 BOULEVARD",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041318",
            "telephone_number": "201-341-4485",
            "fax_number": "201-288-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSLER HEALTH ACO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "BELLAVIA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "201-288-6781",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA02163600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siobhan Ann O'Neil, LSW
• Kristen O'Neill Abbate, MA,LPC
• Adeyemi Onafowokan, LAC
• Orthodontic Associates of Hasbrouck Heights PC
• Osler at Home Inc
• Osler Health Ipa LLC
• Osler Medical Group LLC
• Jessica Otchy, DPT
• Donald Palmer, LPC
• Ihor Nicholas Paluch, CDT

• General Practice Physician in Hasbrouck Heights, NJ
• Providers in Hasbrouck Heights, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.