Provider Demographics
NPI:1164425070
Name:BELNIAK, ROBERT M (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:BELNIAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 KENSINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-3916
Mailing Address - Country:US
Mailing Address - Phone:860-832-4666
Mailing Address - Fax:860-348-4931
Practice Address - Street 1:73 CEDAR ST
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1390
Practice Address - Country:US
Practice Address - Phone:860-832-4666
Practice Address - Fax:860-348-4931
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT27460207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010027460CT01OtherBCBS & BCFP
CT060044OtherHEALTH NET
CT1255448155OtherGHMC GROUP NPI ID
CTP369851OtherOXFORD
CT02746001OtherCONNECTICARE
CT481697OtherAETNA
CT01227460OtherCIGNA
CT200015189OtherRAIL ROAD MEDICARE
CT004214467Medicaid
CT1255448155OtherGHMC GROUP NPI ID
CT010027460CT01OtherBCBS & BCFP
CT200015189OtherRAIL ROAD MEDICARE
CT060044OtherHEALTH NET