Eronmwon E Balogun, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ14894800 Issued in NJ

Practice address

1181 Nixon Dr. Suite 1098
Moorestown, NJ 08057-3201

Phone

(609) 444-8109

NPI assigned

Aug 3, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trinity May Behavioral Health

  • Psychiatric/Mental Health Registered Nurse
  • Burlington, NJ
  • NPI 1629805619

  MA, Single Specialty

  Medicare reassignment NPD Authorized official
• Mindwell Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ewing, NJ
  • NPI 1750037891

  Single Specialty

  Medicare reassignment NPD
• Reflections Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Parlin, NJ
  • NPI 1598410383

  Single Specialty

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1013699693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 NIXON DR",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573201",
            "telephone_number": "609-444-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 NIXON DR. SUITE 1098",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573201",
            "telephone_number": "609-444-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOGUN",
        "first_name": "ERONMWON",
        "middle_name": "E",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NJ",
            "license": "26NR1900140",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14894800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie L. Bailey, PT, DPT
• Jacqueline Marie Baker, LAC
• Timothy Baker, PT, DPT
• Balanced Chiropractic LLC
• Tyler Doran Ballinghoff, PHARMD
• David Lawrence Bankes, PHARMD
• Dana Bannon
• Gregg Michael Baranski, M.D.
• Oana M. Barbu, M.D.
• Jana M Barmasse, PT

• Psychiatric/Mental Health Nurse Practitioner in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.