Provider Demographics
NPI:1629146303
Name:BELARDI, CHRIS ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:ANTHONY
Last Name:BELARDI
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 1:305 W 76TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-8003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:253 WITHERSPOON STREET
Practice Address - Street 2:UNIVERSITY MEDICAL CENTER AT PRINCETON
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3211
Practice Address - Country:US
Practice Address - Phone:609-497-4431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04814500207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD04406600OtherCDS REGISTRATION NUMBER
NJ25MA04814500OtherMEDICAL LICENSE NUMBER
NJ25MA04814500OtherMEDICAL LICENSE NUMBER
NJD04406600OtherCDS REGISTRATION NUMBER
NJ413574Medicare ID - Type Unspecified