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KHATUNA BELOV MD LLC NPI 1700278413


NPI Information

NPI: 1700278413
Provider Name: KHATUNA BELOV, MD, LLC

Doing Business As: KATY BELOV, M.D. FAMILY PRACTICE

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 31D2088315

Address:
127 UNION ST STE 102
RIDGEWOOD, NJ
ZIP 07450
Phone: (201) 857-0066
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KHATUNA BELOV, MD, LLC is a general practice in Ridgewood, NJ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee KHATUNA BELOV, MD, LLC NPI is 1700278413. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Katy Belov, M.d. Family Practice.

The provider's business location address is:

127 UNION ST STE 102
RIDGEWOOD, NJ
ZIP 07450-436
Phone: (201) 857-0066

The provider's authorized official is Khatuna Belov .
The authorized official title is Medical Doctor and has the following contact phone number (201) 857-0066.

The CLIA number assigned to this NPI record is 31D2088315 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2015 and was last updated on 3/4/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice25MA07761000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1413-28MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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