NPIMap

Organization Active NPI

House Calls of NJ

  • Family Medicine Physician
  • Fanwood, NJ
National Provider Identifier
1114170834
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA05733100 Issued in NJ
Legal business name
HOUSE CALLS OF NJ
Practice address
45 Elm Ave
Fanwood, NJ 07023-1203
Phone
(908) 279-3477
Fax
(908) 345-6111
NPI assigned
Oct 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Dr. Douglas Ballan
Title
Sole Proprietor
Phone
(908) 279-3477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25MA05733100 NJ Primary

Addresses

Primary practice location

45 Elm Ave
Fanwood, NJ 07023-1203

Mailing address

PO Box 122
Scotch Plains, NJ 07076-0122
Phone (908) 279-3477

Other identifiers 1

IdentifierTypeStateIssuer
0400245440OtherNJNJ CORPORATE ID#

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1224892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1114170834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070760122",
            "telephone_number": "908-279-3477",
            "fax_number": "908-345-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ELM AVE",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231203",
            "telephone_number": "908-279-3477",
            "fax_number": "908-345-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE CALLS OF NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-25",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "BALLAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "908-279-3477",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA05733100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ CORPORATE ID#",
            "identifier": "0400245440",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fanwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.