Healthcare Provider Details

I. General information

NPI: 1598478182
Provider Name (Legal Business Name): BELONG MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2022
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 STATE ST
SCHENECTADY NY
12305-2111
US

IV. Provider business mailing address

6614 AVE. U PMB 98846
BROOKLYN NY
11234-6021
US

V. Phone/Fax

Practice location:
  • Phone: 910-987-3272
  • Fax:
Mailing address:
  • Phone: 910-987-3272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JORDAN ANDERSON
Title or Position: PRESIDENT
Credential: MD
Phone: 910-987-3272