Individual provider Active NPI

Jerome Edward Balbin, M.D.

  • Emergency Medicine Physician
  • Paterson, NJ
National Provider Identifier
1043638638
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA10520800 Issued in NJ
Practice address
703 Main Street
Department of Emergency Medicine
Paterson, NJ 07503
Phone
(973) 754-2000
Fax
(201) 212-6735
NPI assigned
Apr 1, 2014
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 291566 NY
Emergency Medicine Physician 207P00000X 25MA10520800 NJ Primary

Addresses

Primary practice location

703 Main Street
Department of Emergency Medicine
Paterson, NJ 07503

Mailing address

703 Main Street
Department of Emergency Medicine
Paterson, NJ 07503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190501002409 NJ Practitioner - Emergency Medicine 9739421843 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Passaic River Physicians LLCGroup PAC ID 4486041514, 57 clinicians

Practice addresses (Care Compare)

541 Cedar Hill Ave
Wyckoff, NJ 07481-2150

541 Cedar Hill Ave
Suite 2
Wyckoff, NJ 07481-2133
Phone (201) 212-6735

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.04 of 100Reported as group
Quality
87.11
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Passaic River Physicians, LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Ketarevive, Inc Emergency Medicine CurrentSince Feb 20, 2025 Accepting new patients
St. Joseph's Emergency Physicians Inc CurrentSince Jul 15, 2019 Accepting new patients
Barron Emergency Physicians LLC Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Passaic River Physicians, LLC Emergency Medicine Current Accepting new patients

Locations

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

541 Cedar Hill Ave
Wyckoff, NJ 07481
Phone (201) 447-6262

541 Cedar Hill Ave
Ste 2
Wyckoff, NJ 07481
Phone (201) 212-6735

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: jbalbin261576@ahs.direct-ci.com

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1043638638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MAIN STREET",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MAIN STREET",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07503",
            "telephone_number": "973-754-2000",
            "fax_number": "201-212-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALBIN",
        "first_name": "JEROME EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "291566",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA10520800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.