Theresa a. Bell, MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA06145900 Issued in NJ

Legal business name

THERESA A. BELL, MD LLC

Practice address

310 Chris Gaupp Dr.
Ste 105
Galloway, NJ 08205-4461

Phone

(609) 652-4040

Fax

(609) 652-5340

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Theresa A. Bell, M.DNPI 1013002369

Title

M.D

Phone

(609) 652-4040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa A Bell, M.D.

  • Psychiatry Physician
  • Galloway, NJ
  • NPI 1013002369
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1669677530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CHRIS GAUPP DR",
            "address_2": "SUITE 105",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054461",
            "telephone_number": "609-652-4040",
            "fax_number": "609-652-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CHRIS GAUPP DR.",
            "address_2": "STE 105",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054461",
            "telephone_number": "609-652-4040",
            "fax_number": "609-652-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA A. BELL, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "609-652-4040",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06145900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.