Individual provider Active NPI

Baljit S Sappal, M.D.

  • Internal Medicine Physician
  • Elizabeth, NJ
National Provider Identifier
1124054747
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08077700 Issued in NJ
Practice address
725 N Broad St
Elizabeth, NJ 07208-2347
Phone
(908) 351-8989
Fax
(908) 351-8879
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08077700 NJ Primary
Internal Medicine Physician 207R00000X MD428236 PA

Addresses

Primary practice location

725 N Broad St
Elizabeth, NJ 07208-2347

Mailing address

725 N Broad St
Elizabeth, NJ 07208-2347
Phone (908) 351-8989

Other identifiers 1

IdentifierTypeStateIssuer
0110892MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080425000005 NJ Practitioner - Internal Medicine 2163433814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

725 N Broad St
Elizabeth, NJ 07208-2347
Phone (908) 351-8989

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08077700NJMDInternal Medicine Physician
MD428236PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grove Inpatient Services Internal Medicine Past Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Internal Medicine Past Accepting new patients

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1124054747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082347",
            "telephone_number": "908-351-8989",
            "fax_number": "908-351-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082347",
            "telephone_number": "908-351-8989",
            "fax_number": "908-351-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPPAL",
        "first_name": "BALJIT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08077700",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD428236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110892",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.