Bellmore Dermatology PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

219163 Issued in NY

Legal business name

BELLMORE DERMATOLOGY PLLC

Practice address

2351 Bedford Ave
Bellmore, NY 11710-3627

Phone

(516) 781-5070

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Dimitria Papadopoulos, DONPI 1689640245

Title

Owner

Phone

(516) 781-5070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00030

Practitioners 4

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

• Dimitria Papadopoulos, DO

  • Dermatology Physician
  • Bellmore, NY
  • NPI 1689640245
  Medicare reassignment Care Compare group NPD Authorized official
• Felix Kuo, MD

  • Dermatology Physician
  • Huntington, NY
  • NPI 1285625228
  Medicare reassignment Care Compare group NPD
• Joanna Susan Trigg, DO

  • Dermatology Physician
  • Hicksville, NY
  • NPI 1073053211
  Medicare reassignment NPD
• Nicholas Peter Martin, P.A.

  • Physician Assistant
  • West Islip, NY
  • NPI 1205113040
  Medicare reassignment

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1912923400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 BEDFORD AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 BEDFORD AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103627",
            "telephone_number": "516-781-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLMORE DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "PAPADOPOULOS",
        "authorized_official_first_name": "DIMITRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-781-5070",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "219163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephania Beauliere, REGISTERED NURSE
• Elyse Becker-Dayton
• Bell Pharmacy LLC
• Charlotte Jee Bellear, OTR/L
• Bellmore Dermatology
• Bellmore Family Dental, P.C.
• Bellmore Family Medical Associates,PC
• Bellmore Medical Associates PC
• Bellmore Medical PLLC
• Bellmore Medical Supply

• Specialist in Bellmore, NY
• Providers in Bellmore, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.