Individual provider Active NPI

Venus Soriano Balaoing, APN

  • Acute Care Nurse Practitioner
  • Neptune, NJ
National Provider Identifier
1285292060
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ00910000 Issued in NJ
Practice address
583 Wayside Rd
Neptune, NJ 07753-3618
Phone
(732) 927-3721
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 26NJ00910000 NJ Primary

Addresses

Primary practice location

583 Wayside Rd
Neptune, NJ 07753-3618

Mailing address

583 Wayside Rd
Neptune, NJ 07753-3618
Phone (732) 927-3721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190722002945 NJ Practitioner - Nurse Practitioner 3072849504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olivia T. Ortiz MD PAGroup PAC ID 0749441137, 5 clinicians
Infectious Diseases Professionals LLCGroup PAC ID 1355341546, 3 clinicians

Practice addresses (Care Compare)

1163 Route 37 W
Suite A1
Toms River, NJ 08755-4974
Phone (732) 505-4007

9 Hospital Dr
Suite B4
Toms River, NJ 08755-6425
Phone (732) 905-6635

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases Professionals LLC Single Specialty CurrentSince Jun 22, 2019 Accepting new patients
Olivia T. Ortiz MD PA Single Specialty CurrentSince Nov 1, 2021 Accepting new patients

Locations

1163 Route 37 W
Ste A1
Toms River, NJ 08755
Phone (732) 505-4007

9 Hospital Dr
Ste B4
Toms River, NJ 08755
Phone (732) 766-3357

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1285292060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 WAYSIDE RD",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533618",
            "telephone_number": "732-927-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 WAYSIDE RD",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533618",
            "telephone_number": "732-927-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAOING",
        "first_name": "VENUS",
        "middle_name": "SORIANO",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00910000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.