Active NPI
Joshua D Balog, M.D.
- Clinical Cardiac Electrophysiology Physician
- Fair Lawn, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 25MA08816800
- Practice address
- 22-18 Broadway Ste 102
Fair Lawn, NJ 07410-3016 - Phone
- (201) 414-9766
- Fax
- (201) 414-9751
- NPI assigned
- May 1, 2006
- Last updated
- Apr 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 227702 | MA | |
| Cardiovascular Disease Physician | 207RC0000X | 25MA08816800 | NJ | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 25MA08816800 | NJ | Primary |
Addresses
Primary practice location
22-18 Broadway Ste 102
Fair Lawn, NJ 07410-3016
Mailing address
22-18 Broadway Ste 201
Fair Lawn, NJ 07410-3016
Phone (201) 475-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Grand Ave
Englewood, NJ 07631-4363
22 -02 Broadway
Fair Lawn, NJ 07410-3016
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8000
24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601
250 Old Hook Rd
Westwood, NJ 07675-3123
Phone (201) 383-1035
350 Engle S
5TH FL Room 5518
Englewood, NJ 07631-1808
Phone (201) 568-5250
350 Engle St
Englewood, NJ 07631-1808
350 Engle St Main
Suite 256
Englewood, NJ 07631-1808
Phone (201) 894-3364
400 Old Hook Rd
Suite 1 3
Westwood, NJ 07675-2720
Phone (201) 573-9266
433 57TH St
West New York, NJ 07093-2119
Phone (201) 751-5033
435 57TH St
West New York, NJ 07093-2119
Phone (201) 751-5033
637 Route 23
Pompton Plains, NJ 07444-1419
Phone (862) 666-9210
703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000
97 W Pkwy
Pompton Plains, NJ 07444-1647
Phone (973) 831-5000
Hospital & facility affiliations
- Englewood Hospital and Medical Center
- Valley Hospital
- Hackensack Meridian Health Pascack Valley Medical
- Chilton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227702 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Englewood, PC | Internal Medicine | Current | Accepting new patients |
Locations
180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050
200 Grand Ave
Ste 202
Englewood, NJ 07631
Phone (201) 541-1220
22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016
22-18 Broadway
Ste 102
Fair Lawn, NJ 07410
Phone (201) 773-0887
22-18 Broadway
Ste 201
Fair Lawn, NJ 07410
Phone 20147550501141
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
637 Route 23
Ste 100
Pompton Plains, NJ 07444
Phone (862) 297-9696
70 Hilltop Rd
Ste 1001
Ramsey, NJ 07446
70 Hilltop Rd
Ste 3001
Ramsey, NJ 07446
Phone (201) 934-0043
Interoperability endpoints
- jbalog278403@direct.englewoodhealth.org
- jbalog839506@ahs.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chilton Medical Center
- General Acute Care Hospital
- Pompton Plains, NJ
- NPI 1811994809
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
dba HackensackUMC at Pascack Valley
- General Acute Care Hospital
- Westwood, NJ
- NPI 1205176062
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1508824566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22-18 BROADWAY STE 201",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074103016",
"telephone_number": "201-475-5050",
"fax_number": "201-475-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22-18 BROADWAY STE 102",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074103016",
"telephone_number": "201-414-9766",
"fax_number": "201-414-9751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALOG",
"first_name": "JOSHUA",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "227702",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA08816800",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "NJ",
"license": "25MA08816800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.