BELLMORE MERRICK MEDICAL NPI 1295126423

NPI Information

  • NPI: 1295126423
  • Provider Name: BELLMORE MERRICK MEDICAL
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • CLIA Number: 33D2045842
  • Address: 2154 NEWBRIDGE RD
    BELLMORE, NY
    ZIP 11710
  • Phone: (516) 409-8800

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NPI Details

BELLMORE MERRICK MEDICAL is an adolescent medicine pediatrics in Bellmore, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. BELLMORE MERRICK MEDICAL NPI is 1295126423. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2154 NEWBRIDGE RD
BELLMORE, NY
ZIP 11710-239
Phone: (516) 409-8800
Fax: (516) 409-4921

The provider's authorized official is Lewis K Jassey .
The authorized official title is Owner and has the following contact phone number (516) 409-8800.

The CLIA number assigned to this NPI record is 33D2045842 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2015 and was last updated on 2/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine206951NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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