Bellevue Pediatrics

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00659800 Issued in NJ

Legal business name

BELLEVUE PEDIATRICS

Practice address

416 Bellevue Ave
Trenton, NJ 08618-4513

Phone

(609) 989-9891

NPI assigned

Sep 22, 2016

Organization subpart

No

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

Authorized official

Name

Catherine McNamara, APN

Title

Apn

Phone

(732) 407-8685

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bellevue Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bellevue Pediatrics, P.a.

  • Pediatrics Physician
  • Trenton, NJ
  • NPI 1083629869
  NPD tax ID

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1962951608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 BELLEVUE AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 BELLEVUE AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184513",
            "telephone_number": "609-989-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "MCNAMARA",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "APN",
        "authorized_official_telephone_number": "732-407-8685",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00659800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1668706",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan A Bell, O.D.
• Diane Bellamy
• Sharron Bellamy
• Shirley Bellardo, LCSW
• Bellevue Garden Group, LLC
• Bellevue Pediatrics, P.a.
• Belmar Healthcare Group LLC
• Belmar Healthcare Group LLC
• Belmar Pediatric Day Care I LLC
• Belmar Pediatric Day Care I LLC

• All providers in Trenton, NJ
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.