MEDICARE: DR. MARY R BELLO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MA49418	NJ
2	207QA0505X	Adult Medicine Physician	MA49418	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1043763	OTHER	NJ	AETNA U.S. HEALTHCARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2K2032	OTHER	NJ	HEALTHNET

General Provider Information

NPI Number	:	1376637413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY R BELLO M.D.

Provider Business Mailing Address
First Line	:	400 FRANKLIN TPKE
Second Line	:	SUITE 106
City	:	MAHWAH
State	:	NJ
Zip	:	07430-3516
Country	:	US
Telephone Number	:	201-327-3333
Fax Number	:	210-327-2575

Provider Business Practice Location Address
First Line	:	400 FRANKLIN TPKE
Second Line	:	SUITE 106
City	:	MAHWAH
State	:	NJ
Zip	:	07430-3516
Country	:	US
Telephone Number	:	201-327-3333
Fax Number	:	210-327-2575

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	09/11/2025

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Directions to “ DR. MARY R BELLO M.D.” Practice Location

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