Physician Compare National (NPI:1306828918)

HEALTHCARE PROVIDER: NICOLE J BELANGER-REYNOLDS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1306828918
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153354733
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170504001788
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BELANGER
	Individual professional last name
Provider First Name	NICOLE
	Individual professional first name
Provider Middle Name	JEANINE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SARATOGA HOSPITAL
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6406740273
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	243
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6 MEDICAL PARK DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 206
	Group Practice or individual's line 2 address
City	MALTA
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	120205053
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5182892718
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330222
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SARATOGA HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330153
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ELLIS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330180
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SAMARITAN HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y