Healthcare Provider Details

I. General information

NPI: 1417900150
Provider Name (Legal Business Name): JULIA ANGELINA DEBELLIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 2ND ST
HACKENSACK NJ
07601-2009
US

IV. Provider business mailing address

45 WALNUT RD
MAYWOOD NJ
07607-2128
US

V. Phone/Fax

Practice location:
  • Phone: 551-996-2271
  • Fax: 551-996-8783
Mailing address:
  • Phone: 201-556-1178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA06713900
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2080C0008X
TaxonomyChild Abuse Pediatrics Physician
License Number25MA06713900
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMA067139
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: