PETER DELLABELLA M.D.
NPI 1235329103
Psychiatry & Neurology - Child & Adolescent Psychiatry in Montclair, NJ

NPI Status: Active since July 27, 2007

Contact Information

210 BELLEVUE AVE FL 2
MONTCLAIR, NJ
ZIP 07043
Phone: (917) 514-7979

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • Opted-Out Medicare

About PETER DELLABELLA

This page provides the complete NPI Profile along with additional information for Peter Dellabella, a provider established in Montclair, New Jersey with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1235329103 assigned on July 2007. The practitioner's primary taxonomy code is 2084P0804X with license number MD20113 (ME). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1235329103
Provider Name
PETER DELLABELLA M.D.
Gender
Male
Entity Type
Individual
Location Address
210 BELLEVUE AVE FL 2 MONTCLAIR, NJ 07043
Location Phone
(917) 514-7979
Mailing Address
62 BEVERLEY RD MONTCLAIR, NJ 07043
Mailing Phone
(917) 514-7979
Is Sole Proprietor?
No
Enumeration Date
07-27-2007
Last Update Date
06-19-2015
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Peter Dellabella opted out of Medicare effective on 10-01-2022 until 10-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
MD20113
License State
ME
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084P0005XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurodevelopmental Disabilities

MD20113 (ME)
22084P0005XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurodevelopmental Disabilities

25MA08480300 (NJ)
32084P0005XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurodevelopmental Disabilities

180105 (NY)
42084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

MD20113 (ME)
52084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

25MA08480300 (NJ)
62084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

180105 (NY)
72084P0804XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Child & Adolescent Psychiatry

25MA08480300 (NJ)
82084P0804XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Child & Adolescent Psychiatry

180105 (NY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
180105OTHER (01)NYLICENSE NUMBER
MD20113OTHER (01)MEMAINE MEDICAL LICENSE
25MA08480300OTHER (01)NJNEW JERSEY MEDICAL LICENSE

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 10-01-2022

  • Opt-Out End Date: 10-01-2026

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235329103, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 3 → 6 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 6 + 2 + 1 + 8 + 1 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1235329103.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235329103, enumerated as an "individual" on July 27, 2007.

The provider is located at 210 BELLEVUE AVE FL 2 MONTCLAIR, NJ 07043 and the phone number is (917) 514-7979.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.