Provider Demographics
NPI:1184631012
Name:BELLI, ALBERT J JR (DO)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:J
Last Name:BELLI
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 VINE ST
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037
Mailing Address - Country:US
Mailing Address - Phone:609-561-7666
Mailing Address - Fax:609-567-8347
Practice Address - Street 1:107 VINE ST
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037
Practice Address - Country:US
Practice Address - Phone:609-561-7666
Practice Address - Fax:609-567-8347
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB39383207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1006475OtherMERCY HEALTH
NJ459471OtherINDEPEND BC
NJP376450OtherOXFORD
NJJ27459OtherHEALTHNET
NJ290002754OtherRR MEDICARE
NJ35020OtherAETNA
NJ110132971OtherRR MEDICARE
NJ1869906Medicaid
NJ1869906Medicaid
NJ459471OtherINDEPEND BC
NJP376450OtherOXFORD