Individual provider Active NPI

Chris Anthony Belardi, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Princeton, NJ
National Provider Identifier
1629146303
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
25MA04814500 Issued in NJ
Practice address
253 Witherspoon Street
University Medical Center at Princeton
Princeton, NJ 08540-3211
Phone
(609) 497-4431
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 25MA04814500 NJ Primary

Addresses

Primary practice location

253 Witherspoon Street
University Medical Center at Princeton
Princeton, NJ 08540-3211

Mailing address

305 W 76TH St
New York, NY 10023-8003

Other identifiers 2

IdentifierTypeStateIssuer
D04406600OtherNJCDS REGISTRATION NUMBER
25MA04814500OtherNJMEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100514000781 NJ Practitioner - Emergency Medicine 0749318517 Reassigns benefits to 1 organization
I20171207000734 NY Practitioner - Emergency Medicine 0749318517 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289272NYMDLicensed Practical Nurse
25MA04814500NJMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Services of New Jersey,Professional Association CurrentSince May 1, 2015 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 11, 2017 Accepting new patients
Weill Medical College of Cornell Emergency Medical Services CurrentSince Oct 11, 2017 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Weill Medical College of Cornell Past Accepting new patients

Locations

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

1 Plainsboro Rd
#C
Plainsboro, NJ 08536
Phone (866) 460-4776

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

Organizations & group practices 5

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1629146303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W 76TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100238003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 WITHERSPOON STREET",
            "address_2": "UNIVERSITY MEDICAL CENTER AT PRINCETON",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403211",
            "telephone_number": "609-497-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELARDI",
        "first_name": "CHRIS",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NJ",
            "license": "25MA04814500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS REGISTRATION NUMBER",
            "identifier": "D04406600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "25MA04814500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.