Individual provider Active NPI

Laurie Belosa, M.D

  • Pediatrics Physician
  • Westfield, NJ
National Provider Identifier
1992026694
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08831500 Issued in NJ
Practice address
560 Springfield Ave
Westfield, NJ 07090-1024
Phone
(908) 588-3740
Fax
(908) 588-3740
NPI assigned
Jun 16, 2010
Last updated
Dec 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA08831500 NJ Primary

Addresses

Primary practice location

560 Springfield Ave
Westfield, NJ 07090-1024

Mailing address

11 Park Place
Suite 1200
New York, NY 10007
Phone (212) 226-7666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200106002397 NJ Practitioner - Pediatric MedicinePractitioner - Geriatric Medicine 8224462916 Reassigns benefits to 1 organization
I20250618000837 NY Practitioner - Geriatric Medicine 8224462916 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medassist NJ II CurrentSince Jun 11, 2025 Accepting new patients
Medequipped LLC CurrentSince Jun 11, 2025 Accepting new patients
Hello Pediatrics PC Pediatrics Past Accepting new patients

Locations

419 E County Line Rd
Lakewood, NJ 08701
Phone (845) 377-6670

747 Chestnut Ridge Rd
Ste 205
Spring Valley, NY 10977
Phone (845) 237-2381

747 Chestnut Ridge Rd
Ste 206
Spring Valley, NY 10977
Phone (845) 377-6670

Organizations & group practices 3

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1992026694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PARK PLACE",
            "address_2": "SUITE 1200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10007",
            "telephone_number": "212-226-7666",
            "fax_number": "212-202-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 SPRINGFIELD AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901024",
            "telephone_number": "908-588-3740",
            "fax_number": "908-588-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELOSA",
        "first_name": "LAURIE",
        "name_prefix": "Ms.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08831500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

Verify at the official NPI Registry.