Active NPI
Michelle Bralow Balbi, CRNP
- Gerontology Nurse Practitioner
- Allentown, PA
National Provider Identifier
1487311841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- SP024537
- Practice address
- 415 Business Park LN
Allentown, PA 18109-9120 - Phone
- (610) 844-7229
- NPI assigned
- Nov 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP024537 | PA | Primary |
Addresses
Primary practice location
415 Business Park LN
Allentown, PA 18109-9120
Mailing address
7637 Longwood Dr
Orefield, PA 18069-3152
Phone (610) 844-7229
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP024537 | PA | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1487311841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7637 LONGWOOD DR",
"city": "OREFIELD",
"state": "PA",
"postal_code": "180693152",
"telephone_number": "610-844-7229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 BUSINESS PARK LN",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181099120",
"telephone_number": "610-844-7229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALBI",
"first_name": "MICHELLE",
"middle_name": "BRALOW",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-19",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP024537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.