Balog Nurse Practitioner in Family Health PLLC

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

Legal business name

BALOG NURSE PRACTITIONER IN FAMILY HEALTH PLLC

Practice address

254 Church St
Saratoga Springs, NY 12866-1037

Phone

(518) 477-0479

NPI assigned

Feb 27, 2019

Organization subpart

No

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

Authorized official

Name

Amy Balog, NP

Title

Ceo

Phone

(518) 944-6744

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1801353784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3524",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668010",
            "telephone_number": "518-944-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 CHURCH ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661037",
            "telephone_number": "518-477-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALOG NURSE PRACTITIONER IN FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "BALOG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-944-6744",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Baker, MS OTR
• Dana C Balassi, DIPL.O.M., L.AC.
• Jennifer Baldwin, LCSW, OSW-C
• Zachary Joseph Baldwin, PHARMD
• Kevin Ball, PA
• Francisco Banchs, D.M.D., M.SC.
• Riju Banerjee, MD
• Kathleen McCann Bango, MS, NPP
• Andrij O Baran, MD
• Dmitri V Baranov, M.D., PH.D.

• Community Health Nurse Practitioner in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Community Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.