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NPI Code Detail

MEDICARE: BELSIS RODRIGUEZ PA-C

MEDICARE: BELSIS RODRIGUEZ PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant65628CA
2363A00000XPhysician Assistant25MP00189000NJ

General Provider Information

NPI Number : 1376732578
Entity Type Code : Individual
Provider Name (Legal Business Name) : BELSIS RODRIGUEZ PA-C
Provider Business Mailing Address
First Line : 649 S BEVERWYCK RD
Second Line :
City : PARSIPPANY
State : NJ
Zip : 07054-4325
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 865 STONE ST
Second Line :
City : RAHWAY
State : NJ
Zip : 07065-2742
Country : US
Telephone Number : 732-449-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2007
Last Update Date : 05/18/2026

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Directions to “ BELSIS RODRIGUEZ PA-C” Practice Location

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