Organization Active NPI

Nancy a Balin MD F a C S

  • Ophthalmology Physician
  • Northampton, MA
National Provider Identifier
1033114103
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
56843 Issued in MA
Legal business name
NANCY A BALIN MD F A C S
Practice address
269 Locust St
Northampton, MA 01062-2003
Phone
(413) 584-6666
Fax
(413) 584-7428
NPI assigned
Jun 16, 2005
Last updated
May 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Nancy A. Balin, M.D., F.A.C.S.NPI 1629073879
Title
Owner
Phone
(413) 584-6666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 56843 MA Primary

Addresses

Primary practice location

269 Locust St
Northampton, MA 01062-2003

Mailing address

269 Locust St
Northampton, MA 01062-2003
Phone (413) 584-6666

Other identifiers 1

IdentifierTypeStateIssuer
9774785MedicaidMA

Other names 1

  • Balin Eye Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902001093 MA Part B Supplier - Clinic/Group Practice 9537135322 Receives reassigned benefits from 2 practitioners
Practice locations: Florence, MA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: kknotts@balineye.intellechartdirect.net

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1033114103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 LOCUST ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010622003",
            "telephone_number": "413-584-6666",
            "fax_number": "413-584-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 LOCUST ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010622003",
            "telephone_number": "413-584-6666",
            "fax_number": "413-584-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY A BALIN MD F A C S",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "BALIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-584-6666",
        "authorized_official_credential": "M.D., F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "56843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9774785",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balin Eye Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.