Individual provider Active NPI

Muftau G Bello, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1932509767
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401767 Issued in NY
Practice address
14 Slosson Ter
Staten Island, NY 10301-2507
Phone
(718) 273-8409
Fax
(718) 273-5265
NPI assigned
Aug 29, 2014
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401767 NY Primary

Addresses

Primary practice location

14 Slosson Ter
Staten Island, NY 10301-2507

Mailing address

96 Grandview Ave
Staten Island, NY 10303-2000
Phone (347) 998-2767

Other practice location 1

96 Grandview Ave
Staten Island, NY 10303-2000
Phone (347) 998-2767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180130001860 NY Practitioner - Nurse Practitioner 3577823194 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Project Hospitality IncGroup PAC ID 3577884097, 2 clinicians

Practice addresses (Care Compare)

14 Slosson Ter
Staten Island, NY 10301-2507
Phone (718) 273-8409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Daytop Village, Inc. CurrentSince Feb 15, 2024 Accepting new patients
Samaritan Daytop Village, Inc. CurrentSince Feb 15, 2024 Accepting new patients
Project Hospitality, Inc. CurrentSince Nov 9, 2017 Accepting new patients
Samaritan Daytop Village, Inc. Current Accepting new patients
Project Hospitality Inc. Past Accepting new patients

Locations

250 Grand Concourse
Bronx, NY 10451
Phone (718) 292-2240

13802 Queens Blvd
Jamaica, NY 11435
Phone (718) 298-5100

100 Park Ave
Staten Island, NY 10302
Phone (718) 448-1544

14 Slosson Ter
Staten Island, NY 10301
Phone (718) 273-8409

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1932509767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 GRANDVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032000",
            "telephone_number": "347-998-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SLOSSON TER",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012507",
            "telephone_number": "718-273-8409",
            "fax_number": "718-273-5265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 Grandview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103032000",
            "country_code": "US",
            "telephone_number": "347-998-2767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLO",
        "first_name": "MUFTAU",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-29",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.