Individual provider Active NPI

Suzette Fawzia Bellorin, NP

  • Family Nurse Practitioner
  • Opa Locka, FL
National Provider Identifier
1679709695
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9339659 Issued in FL
Practice address
401 Opa Locka Blvd
Opa Locka, FL 33054-3528
Phone
(786) 535-7200
Fax
(786) 535-7294
NPI assigned
Jun 4, 2009
Last updated
Mar 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 335868 NY
Family Nurse Practitioner 363LF0000X ARNP9339659 FL Primary

Addresses

Primary practice location

401 Opa Locka Blvd
Opa Locka, FL 33054-3528

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (786) 535-7200

Other practice location 1

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-2363

Other practice location 2

1000 Park Centre Blvd Ste 100
Miami, FL 33169-5373
Phone (305) 628-6117

Other practice location 3

4205 W Atlantic Ave
Bldg B Suite 201
Delray Beach, FL 33445-3901
Phone (561) 498-2249

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160308000103 FL Practitioner - Nurse Practitioner 5395041057 Reassigns benefits to 2 organizations
I20210929001887 NY Practitioner - Nurse Practitioner 5395041057 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
335868NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chen Neighborhood Medical Centers of South Florida LLC CurrentSince Mar 6, 2022 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Aug 23, 2020 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Feb 8, 2016 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Aug 9, 2021 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Current Accepting new patients

Locations

4205 W Atlantic Ave
Ste 201
Delray Beach, FL 33445
Phone (561) 303-0013

5210 Linton Blvd
Ste 301
Delray Beach, FL 33484
Phone (561) 496-7900

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

401 Opa Locka Blvd
Opa Locka, FL 33054
Phone (786) 535-7200

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

901 Village Blvd
Ste 702
West Palm Beach, FL 33409
Phone (561) 882-6214

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1679709695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "786-535-7200",
            "fax_number": "786-535-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OPA LOCKA BLVD",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543528",
            "telephone_number": "786-535-7200",
            "fax_number": "786-535-7294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Woods Rd",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "914-493-2363",
            "fax_number": "914-493-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Park Centre Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331695373",
            "country_code": "US",
            "telephone_number": "305-628-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4205 W Atlantic Ave",
            "address_2": "Bldg B Suite 201",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334453901",
            "country_code": "US",
            "telephone_number": "561-498-2249",
            "fax_number": "561-499-0320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLORIN",
        "first_name": "SUZETTE",
        "middle_name": "FAWZIA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335868",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9339659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

Verify at the official NPI Registry.