Joseph Debellis MD PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

174426 Issued in NY

Legal business name

JOSEPH DEBELLIS MD PC

Practice address

80 Sanford PL
Southampton, NY 11968-3317

Phone

(631) 287-1234

Fax

(631) 287-2891

NPI assigned

Nov 19, 2007

Organization subpart

No

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

Authorized official

Name

Joseph Debellis, MD

Title

Doctor

Phone

(631) 287-1234

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Brady, M.D.

  • Plastic Surgery Physician
  • Southampton, NY
  • NPI 1053462937
  NPD (past)

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1841471810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SANFORD PL",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119683317",
            "telephone_number": "631-287-1234",
            "fax_number": "631-287-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SANFORD PL",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119683317",
            "telephone_number": "631-287-1234",
            "fax_number": "631-287-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH DEBELLIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "DEBELLIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "631-287-1234",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "174426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G08517",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeet Bhaidasna Medical Care PC
• Taylor Jenkins
• Debra Ann Jensen, P.T.A.
• Shan Jin, DO
• Nevin Johnson
• Joseph M. Licul, DDS, P.C.
• Beth Josephs, PA
• Crystal Joy
• Youngju Jun
• Youn Hyun Jung

• Plastic Surgery Physician in Southampton, NY
• Providers in Southampton, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.