Paul Bernard Belusko, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

P64179 Issued in NY

Practice address

61 E 97TH St
Apartment # 21
New York, NY 10029-7016

Phone

(646) 463-0778

NPI assigned

Jun 19, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 20, 2015 through Jul 20, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kamana Joshi, DDS, a Professional Corporation

  • General Practice Dentistry
  • Vallejo, CA
  • NPI 1396442794
  NPD (past)
• Paul B. Belusko, DDS, a Professional Corporation

  • Dentist
  • Vallejo, CA
  • NPI 1598172579
  NPD (past)

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1821259292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 E 97TH ST",
            "address_2": "APARTMENT # 21",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297016",
            "telephone_number": "646-463-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E 97TH ST",
            "address_2": "APARTMENT # 21",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297016",
            "telephone_number": "646-463-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELUSKO",
        "first_name": "PAUL",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "P64179",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60045910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Beltrani, LAC
• Melba Beltre, MD
• Paula Beltrone, LCSW
• Miranda Beltzer, PHD
• Beluga Health PC
• Daniel Belz, MD
• Cheryl Belzer
• Reuben Ben David
• Meital Ben Dov, MD.
• Tom David Ben Dov, M.D.

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.