MEDICARE: BELLA SHAPNIK MD

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
1	207R00000X	Internal Medicine Physician	25MA07033300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467462416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELLA SHAPNIK MD

Provider Business Mailing Address
First Line	:	2150 CENTER AVE
Second Line	:	SUITE 1B
City	:	FORT LEE
State	:	NJ
Zip	:	07024-5806
Country	:	US
Telephone Number	:	201-461-2444
Fax Number	:	201-461-7148

Provider Business Practice Location Address
First Line	:	2150 CENTER AVE APT 1B
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-5805
Country	:	US
Telephone Number	:	201-461-2444
Fax Number	:	201-461-7148

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	01/09/2026

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