MEDICARE: NIHON SHIKA GROUP

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	261QD0000X	Dental Clinic/Center	029042	NY

General Provider Information

NPI Number	:	1487774006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NIHON SHIKA GROUP

Provider Business Mailing Address
First Line	:	2460 LEMOINE AVE FL 4
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-6231
Country	:	US
Telephone Number	:	201-461-0618
Fax Number	:

Provider Business Practice Location Address
First Line	:	36 W 44TH ST STE 905
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-8104
Country	:	US
Telephone Number	:	212-768-2928
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GREGORY BELOK
Credential	:	D.D.S.,M.P.H.
Telephone Number	:	212-768-2928

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	08/22/2020

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Directions to “NIHON SHIKA GROUP ” Practice Location

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