Robert Alfons Balko, DAC., L. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00041500 Issued in NJ

Practice address

902 Main St Ste 104
Belmar, NJ 07719-2777

Phone

(730) 775-0033

NPI assigned

Jan 26, 2007

Last updated

Jul 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1336295153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 MAIN ST STE 104",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192777",
            "telephone_number": "730-775-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 MAIN ST STE 104",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192777",
            "telephone_number": "730-775-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALKO",
        "first_name": "ROBERT",
        "middle_name": "ALFONS",
        "name_prefix": "Mr.",
        "credential": "DAC., L. AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK000798",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00041500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Belmar, NJ
• Providers in Belmar, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.