Individual provider Active NPI

Helen M. Baluyot, MD

  • Pediatrics Physician
  • Paterson, NJ
National Provider Identifier
1164425625
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA64305 Issued in NJ
Practice address
641 Main St
Paterson, NJ 07503-3028
Phone
(973) 754-2575
Fax
(973) 754-2579
NPI assigned
May 27, 2005
Last updated
Jan 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA64305 NJ Primary

Addresses

Primary practice location

641 Main St
Paterson, NJ 07503-3028

Mailing address

641 Main St
Paterson, NJ 07503-3028
Phone (973) 754-2575

Other identifiers 1

IdentifierTypeStateIssuer
7826702MedicaidNJ

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
I20140904000784 NJ Practitioner - Pediatric Medicine 6800014846 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA64305NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical Group PC CurrentSince Nov 2, 2021 Accepting new patients
St. Joseph's Healthcare, Inc. CurrentSince Jul 6, 2014 Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients

Locations

641 Main St
Paterson, NJ 07503
Phone (973) 754-2575

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

220 Hamburg Tpke
Ste 203
Wayne, NJ 07470

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1164425625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075033028",
            "telephone_number": "973-754-2575",
            "fax_number": "973-754-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075033028",
            "telephone_number": "973-754-2575",
            "fax_number": "973-754-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALUYOT",
        "first_name": "HELEN",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA64305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7826702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.