Individual provider Active NPI

Jonida Balazi

  • Medical Physician Assistant
  • Amherst, MA
National Provider Identifier
1780050831
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA5437 Issued in MA
Practice address
170 University Dr
Suite 201
Amherst, MA 01002-2247
Phone
(413) 253-2767
NPI assigned
Aug 12, 2015
Last updated
Aug 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA5437 MA Primary

Addresses

Primary practice location

170 University Dr
Suite 201
Amherst, MA 01002-2247

Mailing address

170 University Dr
Suite 201
Amherst, MA 01002-2247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230821001475 MA Practitioner - Physician Assistant 8820384423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3640 Main St
Suite 208
Springfield, MA 01107-1192
Phone (413) 253-2767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Medicine Services of Western Massachusetts LLC CurrentSince Jul 8, 2023 Accepting new patients

Locations

170 University Dr
Ste 201
Amherst, MA 01002
Phone (413) 241-7376

3640 Main St
Ste 208
Springfield, MA 01107
Phone (413) 253-2767

Interoperability endpoints

  • Direct secure messaging: jonidabalazi@smswm.medentdirect.com

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, 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": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1780050831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 UNIVERSITY DR",
            "address_2": "SUITE 201",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 UNIVERSITY DR",
            "address_2": "SUITE 201",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022247",
            "telephone_number": "413-253-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAZI",
        "first_name": "JONIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA5437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.