Healthcare Provider Details

I. General information

NPI: 1700957479
Provider Name (Legal Business Name): STEVEN D BELT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 04/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 CENTRAL AVE
MIDLAND PARK NJ
07432-1401
US

IV. Provider business mailing address

33 CENTRAL AVE
MIDLAND PARK NJ
07432-1401
US

V. Phone/Fax

Practice location:
  • Phone: 201-848-8000
  • Fax: 201-689-0871
Mailing address:
  • Phone: 201-848-8000
  • Fax: 201-689-0871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number25MA04825700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number25MA04825700
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA04825700
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberMA04825700
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number25MA04825700
License Number StateNJ
# 6
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number25MA04825700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: