Individual provider Active NPI

Jennifer Balfour, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1427387448
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
251790 Issued in NY
Practice address
408 Jay St
4TH Floor
Brooklyn, NY 11201-5173
Phone
(718) 971-5600
Fax
(917) 382-3687
NPI assigned
Dec 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 251790 NY Primary

Addresses

Primary practice location

408 Jay St
4TH Floor
Brooklyn, NY 11201-5173

Mailing address

408 Jay St
4TH Floor
Brooklyn, NY 11201-5173
Phone (718) 971-5600

Other identifiers 2

IdentifierTypeStateIssuer
00695941MedicaidNY
474424140OtherNYEMPIRE BCBS PATHWAY HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100225000032 NY Practitioner - Family Practice 4183768484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2004 Grand Ave
North Baldwin, NY 11510-2811
Phone (516) 377-4100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy You Medical PC Family Medicine CurrentSince Dec 15, 2020 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Jul 11, 2016 Accepting new patients

Locations

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

2004 Grand Ave
North Baldwin, NY 11510
Phone (516) 223-7656

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1427387448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 JAY ST",
            "address_2": "4TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015173",
            "telephone_number": "718-971-5600",
            "fax_number": "917-382-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 JAY ST",
            "address_2": "4TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015173",
            "telephone_number": "718-971-5600",
            "fax_number": "917-382-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALFOUR",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "251790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS PATHWAY HMO",
            "identifier": "474424140",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.