Suzanne Marie Bellante-Ellis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV0057891 Issued in NY

Practice address

Warwick Optical
25 Elm Street
Warwick, NY 10990

Phone

(845) 987-7333

NPI assigned

Nov 23, 2005

Last updated

Feb 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Warwick Optical Inc

  • Optometrist
  • Warwick, NY
  • NPI 1548461320
  Medicare reassignment NPD
• Bimc Faculty Practice

  • Sports Medicine (Orthopaedic Surgery) Physician
  • New York, NY
  • NPI 1093906828
  NPD (past)
• Bimc Ophthalmology Dept

  • Ophthalmology Physician
  • New York, NY
  • NPI 1447215819
  NPD (past)

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1992788921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 PINE HILL RD",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109181742",
            "telephone_number": "917-903-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WARWICK OPTICAL",
            "address_2": "25 ELM STREET",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "10990",
            "telephone_number": "845-987-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLANTE-ELLIS",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0057891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02118358",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Hess Balsamo
• Barbara Ann Priestner Lcswr PLLC
• Barbara Priestner Werte LCSW PC
• Christie Barner, L.AC. MSTOM
• Luciano V Barone, M.D.
• Caitlin Eileen Bennett
• Shab Benz, PA
• Dominic Berlingieri
• Deborah Bernstein, PSY.D.
• Karen Judith Berry, PH.D

• Optometrist in Warwick, NY
• Providers in Warwick, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.