Organization Active NPI

Ronald Balkin M.D.,P.C.

  • Ophthalmology Physician
  • New Hyde Park, NY
National Provider Identifier
1609929504
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
124002 Issued in NY
Legal business name
RONALD BALKIN M.D.,P.C.
Practice address
3003 New Hyde Park Rd
Suite 311
New Hyde Park, NY 11042-1214
Phone
(516) 327-0500
Fax
(516) 327-0506
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Ronald Balkin, M.D.
Title
President
Phone
(516) 327-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 124002 NY Primary

Addresses

Primary practice location

3003 New Hyde Park Rd
Suite 311
New Hyde Park, NY 11042-1214

Mailing address

3003 New Hyde Park Rd
Suite 311
New Hyde Park, NY 11042-1214
Phone (516) 327-0500

Other identifiers 1

IdentifierTypeStateIssuer
00396630MedicaidNY

National Provider Directory

National Provider Directory

Locations

3003 New Hyde Park Rd
Ste 311
New Hyde Park, NY 11042
Phone (516) 327-0500

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1609929504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK RD",
            "address_2": "SUITE 311",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421214",
            "telephone_number": "516-327-0500",
            "fax_number": "516-327-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK RD",
            "address_2": "SUITE 311",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421214",
            "telephone_number": "516-327-0500",
            "fax_number": "516-327-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD BALKIN M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "BALKIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-327-0500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "124002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00396630",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.