Individual provider Active NPI

Pamela Ballew Baltsas, DC

  • Chiropractor
  • Newburgh, NY
National Provider Identifier
1063473445
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008525-1 Issued in NY
Practice address
299 Fullerton Ave
Newburgh, NY 12550-3723
Phone
(845) 565-6290
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008525-1 NY Primary

Addresses

Primary practice location

299 Fullerton Ave
Newburgh, NY 12550-3723

Mailing address

299 Fullerton Ave
Newburgh, NY 12550-3723
Phone (845) 565-6290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008525-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
MM Islam MD PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1063473445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 FULLERTON AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503723",
            "telephone_number": "845-565-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 FULLERTON AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503723",
            "telephone_number": "845-565-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTSAS",
        "first_name": "PAMELA",
        "middle_name": "BALLEW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008525-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.