Individual provider Active NPI

Edmond John Balatbat Mejia-Ventura

  • Other Specialist/Technologist
  • Marlboro, NJ
National Provider Identifier
1508726530
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Practice address
7 S Main St Ste B
Marlboro, NJ 07746-1578
Phone
(833) 660-7465
Fax
(312) 600-4447
NPI assigned
Nov 13, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X Primary

Addresses

Primary practice location

7 S Main St Ste B
Marlboro, NJ 07746-1578

Mailing address

7 S Main St Ste B
Marlboro, NJ 07746-1578
Phone (833) 660-7465

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

Practice roles

OrganizationSpecialtyStatusNew patients
JJMV Medspa LLC Specialist/Technologist, Other CurrentSince Nov 24, 2025 Accepting new patients
Pink Jelly Paramedical Services, LLC Specialist/Technologist, Other CurrentSince Nov 18, 2025 Accepting new patients

Locations

7 S Main St
Ste B
Marlboro, NJ 07746
Phone (732) 617-0451

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": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1508726530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 S MAIN ST STE B",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461578",
            "telephone_number": "833-660-7465",
            "fax_number": "312-600-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S MAIN ST STE B",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461578",
            "telephone_number": "833-660-7465",
            "fax_number": "312-600-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA-VENTURA",
        "first_name": "EDMOND JOHN",
        "middle_name": "BALATBAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.