Provider Demographics
NPI:1801960059
Name:BELLIFEMINE, MORRIS (MD)
Entity type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:
Last Name:BELLIFEMINE
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 1:106 CENTRE AVE
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094
Mailing Address - Country:US
Mailing Address - Phone:201-864-4505
Mailing Address - Fax:201-864-8782
Practice Address - Street 1:106 CENTRE AVE
Practice Address - Street 2:
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-3216
Practice Address - Country:US
Practice Address - Phone:201-864-4505
Practice Address - Fax:201-864-8782
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA05278600207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2062402Medicaid
BE571427Medicare ID - Type Unspecified
E23854Medicare UPIN