Eric Ballecer
Individual provider Active NPI Gastroenterology Physician · Greenlawn, NY
NPI 1760833602 · NPPES record last updated May 13, 2022
Key facts
- NPI
- 1760833602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 300758 (NY)
- Practice address
- 5 Cuba Hill Rd
Greenlawn, NY 11740-1624 - Phone
- (631) 628-5000
- NPI assigned
- Jun 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- North Shore Medical Group of the Mount Sinai School of Medicine
Practice addresses (Care Compare)
5 Cuba Hill Rd
Greenlawn, NY 11740-1624
Phone (631) 628-5000
Hospital & facility affiliations
- NS/Lij HS Huntington Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 223 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 123 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220803003268 | NY | Practitioner - Gastroenterology | 6507248739 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300758 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Medical Group of the Mount Sinai School of Medicine | Gastroenterology | Current |
Accepting new patients |
| North Shore Medical Group of the Mount Sinai School of Medicine | Current |
Accepting new patients |
Locations
5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000
325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700
61 Southern Blvd
Nesconset, NY 11767
Phone (631) 659-1700
9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Gastroenterology Physician | 207RG0100X | 300758 | NY | Yes |
Addresses
Primary practice location
5 Cuba Hill Rd
Greenlawn, NY 11740-1624
Mailing address
6986 N Glen Shore Dr
Glendale, WI 53209-2841
Phone (414) 759-7000
Other practice location 1
222 Station Plz N Ste 509
Mineola, NY 11501-3893
Phone (516) 663-2381
Other providers in Greenlawn, NY
- Joyce Au
- Aw Consulting Services Inc.
- Michelle Baek
- Laura Balalaos
- Christopher Balducci
- Anna Mary Lauren Ballosingh-Picard
- Sherry Baran
- Barnett Speech Therapy PLLC
- Alessandra Marie Barragato
- Debra Berger
All providers in Greenlawn, NY · Gastroenterology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.