Celeste Stahl Balaban, D.O, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CELESTE STAHL BALABAN, D.O, PLLC

Practice address

21 N Main St
Middleport, NY 14105-1027

Phone

(716) 735-7774

NPI assigned

Mar 23, 2022

Last updated

Mar 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Celeste Stahl Balaban, DONPI 1821251323

Title

Physician

Phone

(716) 735-7774

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Celeste Stahl Balaban, D.O.

  • Internal Medicine Physician
  • Middleport, NY
  • NPI 1821251323
  NPD Authorized official

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1194474254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N MAIN ST",
            "city": "MIDDLEPORT",
            "state": "NY",
            "postal_code": "141051027",
            "telephone_number": "716-735-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N MAIN ST",
            "city": "MIDDLEPORT",
            "state": "NY",
            "postal_code": "141051027",
            "telephone_number": "716-735-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTE STAHL BALABAN, D.O, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "STAHL BALABAN",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "716-735-7774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Bower, OTR/L
• Christopher August Brighton, PHARMD
• Sara Elizabeth Burgess, EMT
• Michael Burns, PHARM.D., MPH
• Matthew Butler, PHARM.D.
• Marisa Censi, PHARMD
• Marcy Lynn Coleman, C.O.T.A.
• Justin Cooper-Nurse, PHARMD
• Jessica Nicole Costello, PHARMD
• Barbara Ann Cunningham, CTR

• Internal Medicine Physician in Middleport, NY
• Providers in Middleport, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.