Individual provider Active NPI

Maria Altagracia Bello

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1558055814
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F351865 Issued in NY
Practice address
17 Nagle Ave
New York, NY 10040-1405
Phone
(212) 942-0808
NPI assigned
Jun 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F351865 NY Primary

Addresses

Primary practice location

17 Nagle Ave
New York, NY 10040-1405

Mailing address

3159 Sedgwick Ave PH
Bronx, NY 10463-6003
Phone (718) 710-7682

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926004106 NY Practitioner - Nurse Practitioner 4789038688 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medalliance Medical Health Services IncGroup PAC ID 4789633678, 19 clinicians

Practice addresses (Care Compare)

5041 Broadway
Ofc 2
New York, NY 10034-1160
Phone 71893319004661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F351865NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sciometrix Inc CurrentSince Jul 10, 2024 Accepting new patients
Bienvenido Fajardo, M.D.P.C. CurrentSince Aug 15, 2023 Accepting new patients
Medalliance Medical Health Services Inc CurrentSince Feb 5, 2024 Accepting new patients
Sciometrix LLC PastSince Oct 10, 2021 Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

625 E Fordham Rd
#3
Bronx, NY 10458

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

1060 Broadway
Ste 100
Menands, NY 12204
Phone (248) 369-3315

5041 Broadway
Ofc 2
New York, NY 10034
Phone (646) 869-2144

Organizations & group practices 4

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": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1558055814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 SEDGWICK AVE PH",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104636003",
            "telephone_number": "718-710-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 NAGLE AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401405",
            "telephone_number": "212-942-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLO",
        "first_name": "MARIA",
        "middle_name": "ALTAGRACIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.