Individual provider Active NPI

Donald Vincent Belsito, MD

  • Clinical & Laboratory Dermatological Immunology Physician
  • New York, NY
National Provider Identifier
1700869294
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X
License
137939-2 Issued in NY
Practice address
161 Fort Washington Ave FL 12
New York, NY 10032-3729
Phone
(212) 305-5293
Fax
(212) 795-1859
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0425168 KS
Dermatology Physician 207N00000X 137939 NY
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 137939-2 NY Primary

Addresses

Primary practice location

161 Fort Washington Ave FL 12
New York, NY 10032-3729

Mailing address

161 Fort Washington Ave
12TH Floor
New York, NY 10032-3729
Phone (212) 305-5293

Other practice location 1

16 E 60th St
Suite 300
New York, NY 10022-1096
Phone (212) 305-2593

Other identifiers 1

IdentifierTypeStateIssuer
P00456765OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0425168KSMDDermatology Physician
137939NYMDDermatology Physician
137939-2NYMDClinical & Laboratory Dermatological Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Dermatology Associates, LLC Dermatology Past Accepting new patients
Kansas Medical Clinic, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dbelsito622592@nyumc.direct-ci.com
  • Direct secure messaging: dvb9003@direct.nyp.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJICCA

Organizations & group practices 2

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700869294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 FORT WASHINGTON AVE",
            "address_2": "12TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323729",
            "telephone_number": "212-305-5293",
            "fax_number": "212-305-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 FORT WASHINGTON AVE FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323729",
            "telephone_number": "212-305-5293",
            "fax_number": "212-795-1859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 E 60th St",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100221096",
            "country_code": "US",
            "telephone_number": "212-305-2593",
            "fax_number": "212-305-2840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELSITO",
        "first_name": "DONALD",
        "middle_name": "VINCENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "0425168",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "137939",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "NY",
            "license": "137939-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00456765",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.