Joseph Ballaro MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA05662500 Issued in NJ

Legal business name

JOSEPH BALLARO MD PC

Practice address

2933 Vauxhall Rd
Suite 28
Vauxhall, NJ 07088-1260

Phone

(908) 687-1520

Fax

(908) 687-1989

NPI assigned

Mar 29, 2013

Organization subpart

Yes

Parent organization

JOSEPH BALLARO MD PCAs reported in NPPES

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

Authorized official

Name

Dr. Joseph Ballaro, M.D.

Title

Internal Medicine

Phone

(908) 687-1520

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Joseph Ballaro MD PC

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6105/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1174866065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 VAUXHALL RD",
            "address_2": "SUITE 28",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070881260",
            "telephone_number": "908-687-1520",
            "fax_number": "908-687-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 VAUXHALL RD",
            "address_2": "SUITE 28",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070881260",
            "telephone_number": "908-687-1520",
            "fax_number": "908-687-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH BALLARO MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSEPH BALLARO MD PC",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "BALLARO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "INTERNAL MEDICINE",
        "authorized_official_telephone_number": "908-687-1520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05662500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4594401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Vauxhall, NJ
• Providers in Vauxhall, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.