Haley Balouch

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01321200 Issued in NJ

Practice address

2460 Lemoine Ave Ste 502
Fort Lee, NJ 07024-6210

Phone

(201) 419-6114

NPI assigned

Sep 3, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Italk Speech & Language Center

  • Speech-Language Pathologist
  • Fort Lee, NJ
  • NPI 1184089948
  NPD
• Italk Speech Language Pathology PLLC

  • Speech-Language Pathologist
  • New York, NY
  • NPI 1306794185
  NPD (past)

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1083594832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 W END AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102017",
            "telephone_number": "678-395-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 LEMOINE AVE STE 502",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246210",
            "telephone_number": "201-419-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOUCH",
        "first_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01321200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Chungsup Bae, D.D.S
• Jay Kyung Bae, DDS
• Stacy Bagaloo
• Sammy Sang-June Bai, M.D.
• Seoung Won Baik, MD
• Raviprasad Bandi
• Scott M Banford, LCSW
• Harry Banschick, M.D.
• Fenglei Bao
• Silvio Anthony Barone, R.PH

• Speech-Language Pathologist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.