Active NPI
Jose Gabriel Bal, M.D.
- Family Medicine Physician
- Fort Monmouth, NJ
National Provider Identifier
1407833288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 210281
- Practice address
- Stephenson Ave
Building 1075
Fort Monmouth, NJ 07703 - Phone
- (732) 532-1244
- Fax
- (732) 532-6586
- NPI assigned
- Dec 22, 2005
- Last updated
- Jan 19, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 210281 | NY | Primary |
Addresses
Primary practice location
Stephenson Ave
Building 1075
Fort Monmouth, NJ 07703
Mailing address
11 Cedar Knoll Rd
Jackson, NJ 08527-1196
Phone (732) 532-1244
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210281 | NY | MD | Family Medicine Physician |
| 000620 | NY | MD | Dance Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TJH Medical Services, P.C. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1407833288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 CEDAR KNOLL RD",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085271196",
"telephone_number": "732-532-1244",
"fax_number": "732-532-6586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STEPHENSON AVE",
"address_2": "BUILDING 1075",
"city": "FORT MONMOUTH",
"state": "NJ",
"postal_code": "07703",
"telephone_number": "732-532-1244",
"fax_number": "732-532-6586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAL",
"first_name": "JOSE",
"middle_name": "GABRIEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "210281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Monmouth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.