Provider Demographics
NPI:1093769598
Name:PAUL I BELITZ DPM PC
Entity Type:Organization
Organization Name:PAUL I BELITZ DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:I
Authorized Official - Last Name:BELITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:845-354-2600
Mailing Address - Street 1:26 FIREMANS MEMORIAL DR
Mailing Address - Street 2:SUITE 111
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3553
Mailing Address - Country:US
Mailing Address - Phone:845-354-2600
Mailing Address - Fax:845-354-2637
Practice Address - Street 1:26 FIREMANS MEMORIAL DR
Practice Address - Street 2:SUITE 111
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3553
Practice Address - Country:US
Practice Address - Phone:845-354-2600
Practice Address - Fax:845-354-2637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0055261-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0000237207504OtherUNITED HEALTHCARE EMPIRE
NY3557460OtherAETNA US HEALTHCARE HMO
NY7127482OtherAETNA US HEALTHCARE PPO
NY713689OtherMVP
NY2275932Medicaid
NYPK2701OtherEMPIRE BLUECROSS/BLUESHIE
NY55260OtherCONNECTICARE
NM8888996OtherCIGNA
NCP12041706OtherMULTIPLAN
NY2372075OtherUNITED HEALTHCARE
NY292389COtherMAGNACARE
NYP2973570OtherOXFORD
NY5C4281OtherHEALTHNET
NY10105253OtherCDPHP
NY60317000010OtherFIDELIS CARE
NY5C4281OtherHEALTHNET
NM8888996OtherCIGNA
NYPCWA91Medicare PIN