Active NPI
Balanced Wellbeing of New Jersey PC
- Psychiatry Physician
- East Orange, NJ
National Provider Identifier
1619821188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- BALANCED WELLBEING OF NEW JERSEY PC
- Practice address
- 576 Central Ave FL 3
East Orange, NJ 07018-1951 - Phone
- (877) 779-2429
- NPI assigned
- Feb 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gaurav Kulkarni, MD
- Title
- Cio
- Phone
- (877) 779-2429
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
576 Central Ave FL 3
East Orange, NJ 07018-1951
Mailing address
3932 W Eau Gallie Blvd
Melbourne, FL 32934-3283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783382400000",
"number": "1619821188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3932 W EAU GALLIE BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329343283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 CENTRAL AVE FL 3",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181951",
"telephone_number": "877-779-2429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCED WELLBEING OF NEW JERSEY PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-23",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A",
"authorized_official_last_name": "KULKARNI",
"authorized_official_first_name": "GAURAV",
"authorized_official_title_or_position": "CIO",
"authorized_official_telephone_number": "877-779-2429",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.