Individual provider Active NPI

Lauren K Balkan, LCSW

  • Social Worker
  • Edison, NJ
National Provider Identifier
1508896713
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC04716900 Issued in NJ
Practice address
515 Plainfield Ave
Suite 201
Edison, NJ 08817-2598
Phone
(732) 777-1940
Fax
(732) 777-1889
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SC04716900 NJ Primary

Addresses

Primary practice location

515 Plainfield Ave
Suite 201
Edison, NJ 08817-2598

Mailing address

515 Plainfield Ave
Suite 201
Edison, NJ 08817-2598
Phone (732) 777-1940

Other identifiers 1

IdentifierTypeStateIssuer
0045608MedicaidNJ

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04716900NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Vocational Services of Middlesex County Inc. PastSince Oct 1, 2006 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508896713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PLAINFIELD AVE",
            "address_2": "SUITE 201",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172598",
            "telephone_number": "732-777-1940",
            "fax_number": "732-777-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PLAINFIELD AVE",
            "address_2": "SUITE 201",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172598",
            "telephone_number": "732-777-1940",
            "fax_number": "732-777-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALKAN",
        "first_name": "LAUREN",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC04716900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0045608",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.