Individual provider Active NPI

Stefania Balasa, DDS

  • Dentist
  • Manasquan, NJ
National Provider Identifier
1114550076
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI03018100 Issued in NJ
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

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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.

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200721002663 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4688098874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38109TXMDClinical Social Worker
22DI03018100NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel a Walenjus DDS PA General Practice CurrentSince Apr 21, 2024 Accepting new patients
Pennington Dental Associates LLC Dentist Past Accepting new patients
Denta Dental of Odessa PLLC General Practice PastSince Oct 23, 2022 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

Verify at the official NPI Registry.