Active NPI
Donald Vincent Belsito, MD
- Clinical & Laboratory Dermatological Immunology Physician
- New York, NY
National Provider Identifier
1700869294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical & Laboratory Dermatological Immunology Physician
- License
- 137939-2
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00456765 | Other | RR 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0425168 | KS | MD | Dermatology Physician |
| 137939 | NY | MD | Dermatology Physician |
| 137939-2 | NY | MD | Clinical & Laboratory Dermatological Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Dermatology Associates, LLC | Dermatology | Past | Accepting new patients |
| Kansas Medical Clinic, PA | Past | Accepting new patients |
Interoperability endpoints
- dbelsito622592@nyumc.direct-ci.com
- dvb9003@direct.nyp.org
- 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.
-
- Dermatology Physician
- Shawnee Mission, KS
- NPI 1063441103
-
- Non-Pharmacy Dispensing Site
- Topeka, KS
- NPI 1467825679
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.