Eva M. Balash, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35713 Issued in MA

Legal business name

EVA M. BALASH, MD

Doing business as

Boston Family Dermatology

Practice address

1153 Centre St
Suite 5990
Jamaica Plain, MA 02130-3446

Phone

(617) 522-2779

Fax

(617) 522-5698

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eva M Balash, M.D.NPI 1952405045

Title

Owner

Phone

(617) 522-2779

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Boston Family Dermatology Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eva Marie Balash, MD

  • Dermatology Physician
  • Jamaica Plain, MA
  • NPI 1952405045
  NPD Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1073723367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "address_2": "SUITE 5990",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-522-2779",
            "fax_number": "617-522-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "address_2": "SUITE 5990",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-522-2779",
            "fax_number": "617-522-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA M. BALASH, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "BALASH",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-522-2779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "MA",
            "license": "35713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "B15499",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9768173",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Family Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonia Erlich, M.F.A.
• Vivian Elizabeth Erwin, RN
• Aliakbar Esmaeili, DDS
• Bridget T Esposito
• Lauren Zobrosky Estes
• Caroline Noel Evans, PHARMD, RPH
• Kelsie Rae Evans
• Tiffany Marie Everett, PA-C
• Kelly Exley-Smith, LICSW
• Lori-Anne Facella

• Dermatology Physician in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.