Organization Active NPI

Naveen Ballem, MD LLC

Doing business as New Jersey Center For Advanced Surgical Weight Loss

  • Surgery Physician
  • Glen Ridge, NJ
National Provider Identifier
1487938627
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NAVEEN BALLEM, MD LLC
Doing business as
New Jersey Center For Advanced Surgical Weight Loss
Practice address
230 Sherman Ave
Glen Ridge, NJ 07028-1529
Phone
(973) 744-8585
NPI assigned
Oct 6, 2011
Last updated
Oct 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Carey Smith
Title
President
Phone
(973) 275-1860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

230 Sherman Ave
Glen Ridge, NJ 07028-1529

Mailing address

230 Sherman Ave
Glen Ridge, NJ 07028-1529

Other names 1

  • New Jersey Center For Advanced Surgical Weight Loss Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1487938627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SHERMAN AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SHERMAN AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281529",
            "telephone_number": "973-744-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVEEN BALLEM, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-275-1860"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Jersey Center For Advanced Surgical Weight Loss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.