Individual provider Active NPI

Naveen Ballem, MD

  • Surgery Physician
  • Glen Ridge, NJ
National Provider Identifier
1306971874
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA08326700 Issued in NJ
Practice address
230 Sherman Ave
Glen Ridge, NJ 07028-1529
Phone
(973) 744-8585
NPI assigned
Feb 23, 2007
Last updated
Aug 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA08326700 NJ Primary

Addresses

Primary practice location

230 Sherman Ave
Glen Ridge, NJ 07028-1529

Mailing address

230 Sherman Ave
Glen Ridge, NJ 07028-1529
Phone (973) 744-8585

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080714000173 NJ Practitioner - General Surgery 8022111038 Reassigns benefits to 4 organizations
Receives reassigned benefits from 4 practitioners
Practice locations: Glen Ridge, NJ

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Bariatric New Jersey PCGroup PAC ID 1759635980, 19 clinicians

Practice addresses (Care Compare)

1121 Route 22
Suite 203
Bridgewater, NJ 08807-2983
Phone (516) 616-5500

230 Sherman Ave
FL 2
Glen Ridge, NJ 07028-1529
Phone (516) 616-5500

6 Club House Dr
Suite 204
Washington, NJ 07882-2213
Phone (516) 616-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eoh Acquisition Group, LLC CurrentSince Jan 1, 2022 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 28, 2023 Accepting new patients
Pathology Associates, PC Current Accepting new patients
Eoh Acquisition Group, LLC CurrentSince Jan 1, 2022 Accepting new patients
Barnabas Health Medical Group PC Surgery CurrentSince Oct 28, 2023 Accepting new patients
Naveen Ballem, MD LLC Surgery PastSince Jan 1, 1990 Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

240 Central Ave
East Orange, NJ 07018
Phone (973) 414-3473

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

83 Hanover Rd
Ste 190
Florham Park, NJ 07932
Phone (973) 410-9700

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

Interoperability endpoints

  • Direct secure messaging: nballem191138@ahs.direct-ci.com
  • Direct secure messaging: nybg.naveenballem@136202.advancedmd-direct.com

Practitioners & affiliated clinicians

Practitioners 4

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.

Organizations & group practices 8

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

Hospital & facility affiliations 1

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1306971874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SHERMAN AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281529",
            "telephone_number": "973-744-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SHERMAN AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281529",
            "telephone_number": "973-744-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLEM",
        "first_name": "NAVEEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA08326700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ridge, NJ

Sources for this page

Verify at the official NPI Registry.