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
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.

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 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

  • Hunterdon Medical Center Hospital, Flemington, NJ, CCN 310005

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

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08326700NJMDSurgery Physician

Practice roles

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

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

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

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

Verify at the official NPI Registry.