NPIMap

Organization Active NPI

Balance and Memory Medical LLC

  • Internal Medicine Physician
  • Fair Lawn, NJ
National Provider Identifier
1033432992
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BALANCE AND MEMORY MEDICAL LLC
Practice address
14-23 River Rd
Fair Lawn, NJ 07410-1240
Phone
(201) 703-0600
NPI assigned
Mar 8, 2010
Last updated
Mar 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Morris Tilson, MDNPI 1851363964
Title
Managing Member
Phone
(201) 703-0600

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Physical Therapist 225100000X
Audiologist 231H00000X

Addresses

Primary practice location

14-23 River Rd
Fair Lawn, NJ 07410-1240

Mailing address

14-23 River Rd
Fair Lawn, NJ 07410-1240
Phone (201) 703-0600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1033432992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14-23 RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101240",
            "telephone_number": "201-703-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14-23 RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101240",
            "telephone_number": "201-703-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE AND MEMORY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "TILSON",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-703-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.