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Contact Information

BELLARDINI KOSC AND PAVLOU MDS PA
1130 MCBRIDE AVENUE
WOODLAND PARK, NJ07424
 Phone: 973-256-5557
 Fax: 973-256-5036
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for BELLARDINI KOSC AND PAVLOU MDS PA

NPI # 1285630194
LBN Legal business name BELLARDINI KOSC AND PAVLOU MDS PA
Authorized official ANGELO BELLARDINI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2005
Last updated 07/21/2022 - About 4 years ago
Identifiers
NJ Medicaid 1039300
NJ Other 0868546 AETNA HMO
NJ Other 5862571 AETNA PPO
NJ Other CA0181 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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