Agnes Balogh, MD
Individual provider Active NPI Anesthesiology Physician · Fairview, NJ
NPI 1275244154 · NPPES record last updated Dec 12, 2022
Key facts
- NPI
- 1275244154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 25MA11655400 (NJ)
- Practice address
- 143 Anderson Ave
Fairview, NJ 07022-2001 - Phone
- (201) 482-1134
- NPI assigned
- Dec 12, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11655400 | NJ | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA11655400 | NJ | Yes |
Addresses
Primary practice location
143 Anderson Ave
Fairview, NJ 07022-2001
Mailing address
29 Lloyd Rd
Montclair, NJ 07042-1705
Phone (862) 229-3827
Other providers in Fairview, NJ
- Alexander Hesquijarosa MD
- Apr Medical Group
- Michael Arber
- Mohammed Ateeli
- Pilar Ayarza
- Bergen Physical & Vein Medicine LLC
- Bergen Spine Center, LLC
- David Berk
- Bio-Medical Applications of New Jersey, Inc.
- Luca Bonomo
All providers in Fairview, NJ · Anesthesiology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.