Baljeet Purewal, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA08634200 Issued in NJ

Practice address

1046 S Orange Ave
Short Hills, NJ 07078-3131

Phone

(973) 379-0101

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCGEAD

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

• Plastic Surgery of Short Hills PC

  • Specialist
  • Short Hills, NJ
  • NPI 1861712085
  NPD
• NYU Lutheran Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1538111653
  NPD (past)
• SLR Ophthalmology Associates, PC

  • Legal Medicine
  • New York, NY
  • NPI 1457405896
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265516355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JASON LN",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393400",
            "telephone_number": "917-359-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 S ORANGE AVE",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070783131",
            "telephone_number": "973-379-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 55th St",
            "address_2": "Sunset Park Family Health Center",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112202559",
            "country_code": "US",
            "telephone_number": "718-630-7942",
            "fax_number": "718-630-7251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUREWAL",
        "first_name": "BALJEET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "237972",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA08634200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "237972",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prime Neuro Spine Institute Corp
• Priority Medical, Inc.
• Psycure Integrated Care LLC
• Purdy Medical Corp.
• Purely Royal Caregivers LLC
• Tegan Sorvino Quille, MSW, LCSW
• Daniel A Quintin, DPT
• Caroline M Radice-Poli
• Lovelyn Ocana Ravago, PT
• Jeryl P Rempell, PH.D.

• Ophthalmology Physician in Short Hills, NJ
• Providers in Short Hills, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.