| Katy Belov, M.d. Family Practice | |
|
127 Union St Ste 102 Ridgewood NJ 07450-4436 | |
| (201) 857-0066 | |
| Not Available |
| Full Name | Katy Belov, M.d. Family Practice |
|---|---|
| Speciality | General Practice |
| Location | 127 Union St Ste 102, Ridgewood, New Jersey |
| Authorized Official Name and Position | Khatuna Belov (MEDICAL DOCTOR) |
| Authorized Official Contact | 2018570066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katy Belov, M.d. Family Practice 127 Union St Ste 102 Ridgewood NJ 07450-4436 Ph: (201) 857-0066 | Katy Belov, M.d. Family Practice 127 Union St Ste 102 Ridgewood NJ 07450-4436 Ph: (201) 857-0066 |
| NPI Number | 1700278413 |
|---|---|
| Provider Enumeration Date | 03/04/2015 |
| Last Update Date | 03/04/2015 |
| Medicare PECOS PAC ID | 8527385053 |
|---|---|
| Medicare Enrollment ID | O20150323000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700278413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 25MA07761000 (New Jersey) | Primary |
| Provider Name | Khatuna Belov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881699528 PECOS PAC ID: 2264467463 Enrollment ID: I20050927001004 |
| Provider Name | Erika Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396077053 PECOS PAC ID: 9234448986 Enrollment ID: I20200115000718 |
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