Henry M Balboa

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

N0022651 Issued in NY

Legal business name

HENRY M BALBOA

Practice address

100 Manetto Hill Rd Ste 103
Plainview, NY 11803-1311

Phone

(516) 822-9595

Fax

(516) 822-9592

NPI assigned

Apr 4, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Susan R. Teitel

Title

Office Manager

Phone

(516) 822-9595

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1831362375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MANETTO HILL RD STE 103",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031311",
            "telephone_number": "516-822-9595",
            "fax_number": "516-822-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MANETTO HILL RD STE 103",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031311",
            "telephone_number": "516-822-9595",
            "fax_number": "516-822-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY M BALBOA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "TEITEL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-822-9595",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N0022651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hearing Center of Plainview LLC
• Heath Gutterman, DPM PC
• Ellen Hecht, O.T.R.
• Suzanne L Hecht, MSW
• Sherry Henig, PH.D.
• Jina Heo
• Kelly Herder
• Kyle Ross Herman, OTR/L
• Angelina Hernandez, OSC
• Nicolas Hernandez, M.D.

• Primary Podiatric Medicine Podiatrist in Plainview, NY
• Providers in Plainview, NY by specialty
• Primary Podiatric Medicine Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.