Ravi Baliga, MD
Individual provider Active NPI Psychiatry Physician · Morris Plains, NJ
NPI 1487699633 · NPPES record last updated Jan 13, 2011
Key facts
- NPI
- 1487699633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 25MA03046500 (NJ)
- Practice address
- 59 Koch Ave
Greystone Park Psychiatric Hospital
Morris Plains, NJ 07950-4400 - Phone
- (973) 538-1800
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of New Jersey Omb Centralized Payroll
Practice addresses (Care Compare)
59 Koch Ave
Morris Plains, NJ 07950-4400
Phone (973) 538-1800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050812000265 | NJ | Practitioner - Psychiatry | 6002843349 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New Jersey Omb Centralized Payroll | Current |
Accepting new patients | |
| Janine Maris LCSW, LLC | Past | Accepting new patients | |
| Inhealth PA | Psychiatry | Past | Accepting new patients |
Locations
59 Koch Ave
Morris Plains, NJ 07950
Phone (973) 889-4390
Interoperability endpoints
- ravi.baligamd.p1@direct.cfg.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA03046500 | NJ | Yes |
Addresses
Primary practice location
59 Koch Ave
Greystone Park Psychiatric Hospital
Morris Plains, NJ 07950-4400
Mailing address
18 Sparrow Rd
Randolph, NJ 07869-2129
Phone (973) 300-4110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1878603 | Medicaid | NJ | |
| 454889C2E | Other | NJ | MEDICARE BILLING |
Other providers in Morris Plains, NJ
- Aspiring Abilities LLC
- At Home Physical Therapy, LLC
- Athome Medical Inc
- Avidd Community Services
- Walter Michael Bakun
- Jessica Lynn Barnes
- Jessica Battagliese
- Therea Battista
- Robert J. Becker
- Alissa Behar
All providers in Morris Plains, NJ · Psychiatry Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.