Individual provider Active NPI

Bianca Angelica Belli, D.O.

  • Family Medicine Physician
  • Lockport, NY
National Provider Identifier
1720348261
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
390299999X Issued in NY
Practice address
5875 S. Transit Road
Lockport, NY 14094
Phone
(716) 514-1166
NPI assigned
May 17, 2012
Last updated
Jun 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 390299999X NY Primary

Addresses

Primary practice location

5875 S. Transit Road
Lockport, NY 14094

Mailing address

60 Arielle CT
Apt D
Williamsville, NY 14221-1952
Phone (847) 372-2302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
390299999XNYMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1720348261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ARIELLE CT",
            "address_2": "APT D",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211952",
            "telephone_number": "847-372-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 S. TRANSIT ROAD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "14094",
            "telephone_number": "716-514-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLI",
        "first_name": "BIANCA",
        "middle_name": "ANGELICA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "390299999X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.