Marc Balson

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

22DI01293000 Issued in NJ

Practice address

201 S Livingston Ave
Suite 2B
Livingston, NJ 07039-4043

Phone

(973) 994-1661

Fax

(973) 740-8899

NPI assigned

Mar 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Livingston Endodontic Associates, P.a.

  • Endodontics
  • Livingston, NJ
  • NPI 1174740567
  NPD (past) Authorized official

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1053582064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S LIVINGSTON AVE",
            "address_2": "SUITE 2B",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394043",
            "telephone_number": "973-994-1661",
            "fax_number": "973-740-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S LIVINGSTON AVE",
            "address_2": "SUITE 2B",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394043",
            "telephone_number": "973-994-1661",
            "fax_number": "973-740-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSON",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22DI01293000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION",
            "identifier": "1174740567",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bala Ganapati Inc
• Bala Ganapati Inc.
• Beth Balavram, P.A.
• Voltaire Reyes Balderrama, P.T.
• Anita C Baldomero
• Argel Rannier Baltazar, AGACNP-BC
• Pawel Bankowski, ATC
• Sakinah Banks, NP
• Malka Merav Bannet, D.O.
• Rakesh K Bansil, MD

• Endodontics in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.