Active NPI
Joseph S Bialobok, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fonda, NY
National Provider Identifier
1265574743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 0329781
- Practice address
- 22 Broadway
Fonda, NY 12068 - Phone
- (518) 853-3618
- NPI assigned
- Feb 13, 2007
- Last updated
- Sep 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0329781 | NY | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0329781 | NY | Primary |
Addresses
Primary practice location
22 Broadway
Fonda, NY 12068
Mailing address
PO Box 838
22 Broadway
Fonda, NY 12068
Phone (518) 853-3618
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0329781 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1265574743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 838",
"address_2": "22 BROADWAY",
"city": "FONDA",
"state": "NY",
"postal_code": "12068",
"telephone_number": "518-853-3618",
"fax_number": "518-853-4491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BROADWAY",
"city": "FONDA",
"state": "NY",
"postal_code": "12068",
"telephone_number": "518-853-3618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIALOBOK",
"first_name": "JOSEPH",
"middle_name": "S",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "0329781",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "0329781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fonda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.