Active NPI
Robert Balzama, P.T.
- Physical Therapist
- Toms River, NJ
National Provider Identifier
1205859972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00852500
- Practice address
- 1186 Fischer Blvd # 90
Toms River, NJ 08753-3063 - Phone
- (732) 929-0095
- Fax
- (732) 929-0376
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00852500 | NJ | Primary |
Addresses
Primary practice location
1186 Fischer Blvd # 90
Toms River, NJ 08753-3063
Mailing address
154 Central Ave
Seaside Park, NJ 08752-2043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00852500 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205859972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 CENTRAL AVE",
"city": "SEASIDE PARK",
"state": "NJ",
"postal_code": "087522043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1186 FISCHER BLVD # 90",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087533063",
"telephone_number": "732-929-0095",
"fax_number": "732-929-0376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALZAMA",
"first_name": "ROBERT",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00852500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toms River, NJ
- Balanced Being Counseling LLC
- Eric J Ball, MD
- Jacob Thomas Ball
- Alberto Ballesteros, MD
- Rina Balsam, LSW
- Krista Ann Balzofiore, MSN, RN, FNP-C
- Bancroft, a New Jersey Nonprofit Corporation
- Bancroft, a New Jersey Nonprofit Corporation
- Ma Luisa C. Bandales, P.T.
- Bankim D. Shah M.D. PA (Shore Preventative Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.