Healthcare Provider Details

I. General information

NPI: 1962148973
Provider Name (Legal Business Name): JUSTIN BELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2022
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 VALLEY HEALTH PLZ
PARAMUS NJ
07652-3619
US

IV. Provider business mailing address

3920 BROADWAY
NEW YORK NY
10032-1518
US

V. Phone/Fax

Practice location:
  • Phone: 201-847-9320
  • Fax: 201-847-0059
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA13216600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: