Edward Balzer, Nurse Practitioner in Psychiatry, P.C.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EDWARD BALZER, NURSE PRACTITIONER IN PSYCHIATRY, P.C.

Practice address

51 Riviera Dr
Mastic Beach, NY 11951-6024

Phone

(631) 681-5584

NPI assigned

Mar 29, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Edward F Balzer, PMHNP-BCNPI 1720763196

Title

Owner/Ceo

Phone

(631) 681-5584

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Balzer, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Melville, NY
  • NPI 1720763196
  NPD Authorized official

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

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743206400000",
    "number": "1821891458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119510601",
            "telephone_number": "631-681-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 RIVIERA DR",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119516024",
            "telephone_number": "631-681-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD BALZER, NURSE PRACTITIONER IN PSYCHIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A",
        "authorized_official_last_name": "BALZER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "631-681-5584",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan M Donnellan, MS OTR/L
• Amanda Marie Dueffert
• Laura Durandis
• Abigail Kathrine Dwyer, RN
• Michele J Ebert, MSED
• Carissa Ellis, R.N.
• Elizabeth Elshazly
• Felicia Joy Endara, R.N., LPN
• Michelle Farid
• Stacey A Farmer, M.S., OTR/L

• Psychiatric/Mental Health Nurse Practitioner in Mastic Beach, NY
• Providers in Mastic Beach, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; 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.