Provider Demographics
NPI:1801213160
Name:BELYEA, LONI (MD)
Entity Type:Individual
Prefix:DR
First Name:LONI
Middle Name:
Last Name:BELYEA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LONI
Other - Middle Name:
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 YORK STREET, CB-329
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3220
Mailing Address - Country:US
Mailing Address - Phone:203-688-1734
Mailing Address - Fax:
Practice Address - Street 1:1690 US HIGHWAY 1 S STE 300
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-7037
Practice Address - Country:US
Practice Address - Phone:910-684-5499
Practice Address - Fax:910-684-5567
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-19102207R00000X
CT63779207RG0300X, 208M00000X
NC2020-04554207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist