Active NPI
Angelo G Bellardini, M.D.
- Internal Medicine Physician
- West Paterson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA03900500
- Practice address
- 1130 McBride Avenue
West Paterson, NJ 07424 - Phone
- (973) 256-5557
- Fax
- (973) 256-5036
- NPI assigned
- Jun 23, 2005
- Last updated
- Jul 27, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA03900500 | NJ | Primary |
Addresses
Primary practice location
1130 McBride Avenue
West Paterson, NJ 07424
Mailing address
1225 McBride Ave
Woodland Park, NJ 07424-3812
Phone (973) 256-5557
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4277116 | Other | NJ | AETNA PPO |
| 31D121 | Other | NJ | EMPIRE BC/BS |
| 0109584000 | Other | NJ | AMERIHEALTH |
| 110032993 | Other | NJ | RAILROAD MEDICARE |
| 4731701 | Medicaid | NJ | |
| 0K2101 | Other | NJ | HEALTHNET |
| 2596305 | Other | NJ | GHI PPO |
| 0011381 | Other | NJ | AETNA HMO |
| PP144 | Other | NJ | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 McBride Ave
Woodland Park, NJ 07424-3813
Phone (973) 256-5557
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03900500 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Englewood, PC | Internal Medicine | Current | Accepting new patients |
| St Josephs University Medical Center Inc. | Past | Accepting new patients |
Locations
180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050
22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016
22-18 Broadway
Ste 201
Fair Lawn, NJ 07410
Phone 20147550501141
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000
183 Illinois Ave
Paterson, NJ 07503
Phone (973) 523-3400
1225 McBride Ave
Ste 200
Woodland Park, NJ 07424
Phone (973) 256-5557
Interoperability endpoints
- abellardini236677@direct.englewoodhealth.org
- angelo.bellardini@direct.carepointhealth.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Internal Medicine Physician
- West Paterson, NJ
- NPI 1285630194
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
dba Patient Care
- Community Based Hospice Care Agency
- Passaic, NJ
- NPI 1144280017
Home health agency
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
-
- Home Health Agency
- Paramus, NJ
- NPI 1174588925
-
dba Visiting Health Services of New Jersey
- Home Health Agency
- Woodland Park, NJ
- NPI 1518407642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343347200000",
"number": "1780680876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 MCBRIDE AVE",
"city": "WOODLAND PARK",
"state": "NJ",
"postal_code": "074243812",
"telephone_number": "973-256-5557",
"fax_number": "973-256-5036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 MCBRIDE AVENUE",
"city": "WEST PATERSON",
"state": "NJ",
"postal_code": "07424",
"telephone_number": "973-256-5557",
"fax_number": "973-256-5036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLARDINI",
"first_name": "ANGELO",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2012-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA03900500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4277116",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "31D121",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0109584000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110032993",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4731701",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0K2101",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "2596305",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0011381",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "PP144",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.