Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144783820 Individual Practitioner Female Practitioner

Ikemesit Udo-Bellner

Pediatrics • Patchogue, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ikemesit Udo-Bellner is a certified Pediatrics practicing in Patchogue, NY. With approximately 7 years of clinical experience since graduating from New York Medical College in 2019, Ikemesit Udo-Bellner delivers high-quality medical care to the local community at 450 WAVERLY AVE.

Ikemesit Udo-Bellner is affiliated with Stony Brook Children'S Service, University Faculty Practice Corporatio and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

450 Waverly Ave

Patchogue, NY 117721555

Telephone 6314445437
Associated Practice Facility / Clinic
🏢 Patchogue Dental Services Pc Facility NPI 1053580803

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Patchogue, NY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs Matches City Avg
City Avg: 7.0 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Patchogue, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Udo-Bellner (7 Years) 7 Yrs
Patchogue Specialty Average (7.0 Years) 7.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-06-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 315474-01

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Stony Brook Children's Service, University Faculty Practice Corporatio

2701 Sunrise Hwy, Islip Terrace, NY 117522642

Phone: 6316382375

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Payal Anand

Pediatrics - Pediatric Endocrinology

NPI 1023218872
Dr. Jason Klein , MD

Pediatrics - Pediatric Endocrinology

NPI 1033358676

Doctor of Medicine (M.D.)

Dr. Pianpian Wu , DO

Pediatrics - Pediatric Emergency Medicine

NPI 1033608427

Doctor of Osteopathic Medicine (D.O.)

Dr. Erica Gross , MD

Surgery - Pediatric Surgery

NPI 1083851737

Doctor of Medicine (M.D.)

NPI 1144801366

Doctor of Medicine (M.D.)

Dr. Sophia Prentzas , MD

Student in an Organized Health Care Education/Training Program

NPI 1164216073

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location June 14, 2022

Registered at 450 WAVERLY AVE, PATCHOGUE, NY 117721555 (Tel: 6314445437)

📍
Updated Business Mailing Address June 14, 2022

Registered at 450 WAVERLY AVE, PATCHOGUE, NY 117721555 (Tel: 6314440650)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2022

Pediatrics (License #315474-01 in NY)

📍
Updated Business Mailing Address June 06, 2022

Registered at PO BOX 1559, STONY BROOK, NY 117900989 (Tel: 6314440650)

👤
Provider Name / Credentials Updated August 21, 2019

Recorded as IKEMESIT UDO-BELLNER

NPI Profile Active April 10, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 10, 2019

Registered at 259 FIRST STREET, MINEOLA, NY 115013957 (Tel: 5166638443)

📍
Updated Business Mailing Address April 10, 2019

Registered at 259 FIRST STREET, MINEOLA, NY 11501

👤
Provider Name / Credentials Updated April 10, 2019

Recorded as IKEMESIT UDO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 10, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144783820
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2019
Last Update: June 14, 2022
Sole Proprietor: No

Mailing Address

450 Waverly Ave

Patchogue, NY 117721555

Phone: 6314440650

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.