Pamela Ann Bellan, MD

Key facts

NPI

1679864151

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

187496 (NY)

Practice address

2225 Farrell Court
Merrick, NY 11566-5050

Phone

(516) 223-1196

Fax

(516) 223-1196

NPI assigned

May 2, 2011

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Medicine

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 2, 2011.

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1679864151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 FARRELL COURT",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115665050",
            "telephone_number": "516-223-1196",
            "fax_number": "516-223-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 FARRELL COURT",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115665050",
            "telephone_number": "516-223-1196",
            "fax_number": "516-223-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAN",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "187496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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