Individual provider Active NPI

Joshua D Balog, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Fair Lawn, NJ
National Provider Identifier
1508824566
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
25MA08816800 Issued in NJ
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101005000021 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Electrophysiology 0648462093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
227702MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Aug 1, 2019 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

  • Direct secure messaging: jbalog278403@direct.englewoodhealth.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.