Individual provider Active NPI

John Balaicuis, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Philadelphia, PA
National Provider Identifier
1407063456
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
MD431780 Issued in PA
Practice address
7600 Stenton Ave Apt D14
Philadelphia, PA 19118-3239
Phone
(215) 242-5263
NPI assigned
May 17, 2007
Last updated
Feb 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X MD431780 PA Primary

Addresses

Primary practice location

7600 Stenton Ave Apt D14
Philadelphia, PA 19118-3239

Mailing address

7600 Stenton Ave Apt D14
Philadelphia, PA 19118-3239
Phone (215) 242-5263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1407063456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 STENTON AVE APT D14",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183239",
            "telephone_number": "215-242-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 STENTON AVE APT D14",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183239",
            "telephone_number": "215-242-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAICUIS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "PA",
            "license": "MD431780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.