Active NPI
Naveen Ballem, MD
- Surgery Physician
- Glen Ridge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA08326700
- Practice address
- 230 Sherman Ave
Glen Ridge, NJ 07028-1529 - Phone
- (973) 744-8585
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- General Acute Care Hospital
- East Orange, NJ
- NPI 1013386143
-
- Anatomic Pathology & Clinical Pathology Physician
- East Orange, NJ
- NPI 1366460271
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
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 PC
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
- Hunterdon Medical Center
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080714000173 | NJ | Practitioner - General Surgery | 8022111038 |
Reassigns benefits to 4 organizations Receives reassigned benefits from 4 practitioners Practice locations: Glen Ridge, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08326700 | NJ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eoh Acquisition Group, LLC | Current | Accepting new patients | |
| Pathology Associates, PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Surgery | Current | Accepting new patients |
| Eoh Acquisition Group, LLC | Current | Accepting new patients | |
| Naveen Ballem, MD LLC | Surgery | Past | Accepting new patients |
Locations
1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008
300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460
240 Central Ave
East Orange, NJ 07018
Phone (973) 414-3473
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
- nybg.naveenballem@136202.advancedmd-direct.com
- nballem191138@ahs.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA08326700 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
230 Sherman Ave
Glen Ridge, NJ 07028-1529
Mailing address
230 Sherman Ave
Glen Ridge, NJ 07028-1529
Phone (973) 744-8585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2008.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.