Active NPI
Edward Ballo, LMSW
- Social Worker
- New York, NY
National Provider Identifier
1538604137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 72097986
- Practice address
- 122 W 27TH St FL 6
New York, NY 10001-6291 - Phone
- (212) 691-2900
- NPI assigned
- Jan 5, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 72097986 | NY | Primary |
Addresses
Primary practice location
122 W 27TH St FL 6
New York, NY 10001-6291
Mailing address
122 W 27TH St FL 6
New York, NY 10001-6291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02997148 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72097986 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenwich House Chemical Dependency Program | Past | Accepting new patients | |
| Greenwich House Inc | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1225405640
-
- Adult Psychiatric/Mental Health Registered Nurse
- New York, NY
- NPI 1730207119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1538604137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 W 27TH ST FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 W 27TH ST FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016291",
"telephone_number": "212-691-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLO",
"first_name": "EDWARD",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-05",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "72097986",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02997148",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.