Provider Demographics
NPI:1528413655
Name:BELLAPIANTA ORTHOPAEDICS AND SPORTS MEDICINE LLC
Entity Type:Organization
Organization Name:BELLAPIANTA ORTHOPAEDICS AND SPORTS MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLAPIANTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-490-4333
Mailing Address - Street 1:120 VALLEY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-2321
Mailing Address - Country:US
Mailing Address - Phone:201-490-4333
Mailing Address - Fax:
Practice Address - Street 1:120 VALLEY RD STE 100
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-2321
Practice Address - Country:US
Practice Address - Phone:201-490-4333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-26
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty