Elsaid Balboul MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA59362 Issued in NJ

Legal business name

ELSAID BALBOUL MD PA

Practice address

508 Hamburg Tpke
Ste 201
Wayne, NJ 07470-8482

Phone

(973) 942-1340

NPI assigned

May 23, 2006

Last updated

Aug 15, 2008By 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. Elsaid Balboul, MDNPI 1467421339

Title

Owner

Phone

(973) 942-1340

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Elsaid Balboul, MD

  • Internal Medicine Physician
  • Wayne, NJ
  • NPI 1467421339
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1265487086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HAMBURG TPKE",
            "address_2": "STE 201",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708482",
            "telephone_number": "973-942-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HAMBURG TPKE",
            "address_2": "STE 201",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708482",
            "telephone_number": "973-942-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSAID BALBOUL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "BALBOUL",
        "authorized_official_first_name": "ELSAID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-942-1340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA59362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9056301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ellen DMD
• Elizabeth K Ellen, DMD
• Ashley Ellias, M.ED
• Amal Elrafei, M.ED, LAC
• Mohamed A Elrafei, MD
• Teresa M Ely, LPC
• Elyse Guli Licensed Clinical Social Worker LLC
• Arash Emami, M.D.
• Emc Healthcare Services LLC
• Emerald Health Care Services, Inc.

• Internal Medicine Physician in Wayne, NJ
• Providers in Wayne, 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 Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.