Active NPI
Stefania Balasa, DDS
- Dentist
- Manasquan, NJ
National Provider Identifier
1114550076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI03018100
- Practice address
- 147 Union Ave
Manasquan, NJ 08736-3648 - Phone
- (732) 528-0600
- NPI assigned
- Feb 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7096 | LA | |
| General Practice Dentistry | 1223G0001X | 38109 | TX | |
| Dentist | 122300000X | 22DI03018100 | NJ | Primary |
Addresses
Primary practice location
147 Union Ave
Manasquan, NJ 08736-3648
Mailing address
147 Union Ave
Manasquan, NJ 08736-3648
Phone (732) 528-0600
Other practice location 1
177 Scotch Rd
Ewing, NJ 08628-2509
Phone (609) 372-5096
Other practice location 2
31 N Main St
Pennington, NJ 08534-2217
Phone (609) 737-0288
Organizations & group practices 3
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.
-
- Dentist
- Pennington, NJ
- NPI 1740344860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200721002663 | TX | Order and Referring Only - Oral Surgery | 4688098874 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38109 | TX | MD | Clinical Social Worker |
| 22DI03018100 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel a Walenjus DDS PA | General Practice | Current | Accepting new patients |
| Pennington Dental Associates LLC | Dentist | Past | Accepting new patients |
| Denta Dental of Odessa PLLC | General Practice | Past | Accepting new patients |
Locations
147 Union Ave
Manasquan, NJ 08736
Phone (732) 528-0600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1114550076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 UNION AVE",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "087363648",
"telephone_number": "732-528-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 UNION AVE",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "087363648",
"telephone_number": "732-528-0600"
}
],
"practiceLocations": [
{
"address_1": "177 Scotch Rd",
"address_purpose": "LOCATION",
"city": "Ewing",
"state": "NJ",
"postal_code": "086282509",
"country_code": "US",
"telephone_number": "609-372-5096",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "31 N Main St",
"address_purpose": "LOCATION",
"city": "Pennington",
"state": "NJ",
"postal_code": "085342217",
"country_code": "US",
"telephone_number": "609-737-0288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALASA",
"first_name": "STEFANIA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-19",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "7096",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "38109",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI03018100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manasquan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.