Individual provider Active NPI

Joseph Ballaro, M.D.

  • Internal Medicine Physician
  • Vauxhall, NJ
National Provider Identifier
1700971041
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA56625 Issued in NJ
Practice address
2933 Vauxhall Rd
Suite 28
Vauxhall, NJ 07088-1260
Phone
(908) 687-1520
Fax
(908) 687-1989
NPI assigned
Oct 3, 2006
Last updated
Dec 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA56625 NJ Primary

Addresses

Primary practice location

2933 Vauxhall Rd
Suite 28
Vauxhall, NJ 07088-1260

Mailing address

PO Box 416457
Boston, MA 02241-6457

Other identifiers 1

IdentifierTypeStateIssuer
4594401MedicaidNJ

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
I20050622000812 NJ Practitioner - Internal Medicine 8123063914 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRX Paramus, LLCGroup PAC ID 2466589585, 63 clinicians

Practice addresses (Care Compare)

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652-3623
Phone (201) 262-2010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA56625NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GT Urgent Care PC CurrentSince Jun 1, 2018 Accepting new patients
Jersey Irish Medical CurrentSince Dec 1, 2018 Accepting new patients
DRX Paramus, LLC CurrentSince Jul 1, 2023 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Aug 5, 2020 Accepting new patients

Locations

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

601 W Union Ave
Ste 1
Bound Brook, NJ 08805
Phone (732) 469-3627

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

165 S Black Horse Pike
Williamstown, NJ 08094
Phone (856) 516-4700

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1700971041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 VAUXHALL RD",
            "address_2": "SUITE 28",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070881260",
            "telephone_number": "908-687-1520",
            "fax_number": "908-687-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARO",
        "first_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA56625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4594401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vauxhall, NJ

Sources for this page

Verify at the official NPI Registry.