Andrew I Balysky, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00466700 Issued in NJ

Practice address

530 East Main Street Box 521
Suite 2B
Chester, NJ 07930

Phone

(908) 879-7070

Fax

(908) 879-5323

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chester Family Eye Care LLC

  • Optometrist
  • Chester, NJ
  • NPI 1073119665
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1801980461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 EAST MAIN STREET BOX 521",
            "address_2": "SUITE 2B",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "07930",
            "telephone_number": "908-879-7070",
            "fax_number": "908-879-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 EAST MAIN STREET BOX 521",
            "address_2": "SUITE 2B",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "07930",
            "telephone_number": "908-879-7070",
            "fax_number": "908-879-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALYSKY",
        "first_name": "ANDREW",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE006546P",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00466700",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA00466700",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OE006546P",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NJ",
            "license": "27OA00466700",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "PA",
            "license": "OE006546P",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "NJ",
            "license": "27OA00466700",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "PA",
            "license": "OE006546P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "222735687",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0584730001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Aussem
• Aygen Pediatrics, LLC
• Kadri Mehmet Aygen, M.D.
• Zehra Zeynep Aygen, M.D.
• Brianna Elizabeth Bailey, MS, LAC
• Suzanne Barba, ATC, EMT
• Jennifer Barbieri, LMHC
• Robin Marr Barnes, D.C.
• Jason Robert Baum, DC
• Lauren Elizabeth Beam, IBCLC

• All providers in Chester, NJ
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.