Individual provider Active NPI

Gregory Belok, DDS,MPH

  • General Practice Dentistry
  • Edgewater, NJ
National Provider Identifier
1962492157
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01063500 Issued in NJ
Practice address
Mitsuwa Marketplace 595 River Rd
Edgewater, NJ 07020-1104
Phone
(201) 945-3202
NPI assigned
Oct 27, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI01063500 NJ Primary

Addresses

Primary practice location

Mitsuwa Marketplace 595 River Rd
Edgewater, NJ 07020-1104

Mailing address

2460 Lemoine Ave
4TH Floor
Fort Lee, NJ 07024-6231
Phone (201) 461-0618

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160721000503 NJ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3971896481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nihon Shika Group Mitsuwa Past Accepting new patients

Organizations & group practices 5

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962492157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 LEMOINE AVE",
            "address_2": "4TH FLOOR",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246231",
            "telephone_number": "201-461-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MITSUWA MARKETPLACE 595 RIVER RD",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201104",
            "telephone_number": "201-945-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELOK",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DDS,MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01063500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

Verify at the official NPI Registry.