Individual provider Active NPI

Angelo G Bellardini, M.D.

  • Internal Medicine Physician
  • West Paterson, NJ
National Provider Identifier
1780680876
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA03900500 Issued in NJ
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4277116OtherNJAETNA PPO
31D121OtherNJEMPIRE BC/BS
0109584000OtherNJAMERIHEALTH
110032993OtherNJRAILROAD MEDICARE
4731701MedicaidNJ
0K2101OtherNJHEALTHNET
2596305OtherNJGHI PPO
0011381OtherNJAETNA HMO
PP144OtherNJOXFORD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080208000204 NJ Practitioner - Internal Medicine 5294730321 Reassigns benefits to 1 organization

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
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

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

LicenseStateTypeSpecialty
25MA03900500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Jul 30, 2016 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

  • Direct secure messaging: abellardini236677@direct.englewoodhealth.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.