Organization Active NPI

M Balaghi MD PLLC

  • Internal Medicine Physician
  • Fishkill, NY
National Provider Identifier
1831387430
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
203371 Issued in NY
Legal business name
M BALAGHI MD PLLC
Practice address
831 Route 52
Suite L2
Fishkill, NY 12524-1565
Phone
(845) 831-0479
Fax
(845) 831-0631
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Dr. Mesbaheddin Balaghi, MDNPI 1558366740
Title
President
Phone
(845) 831-0479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 203371 NY Primary

Addresses

Primary practice location

831 Route 52
Suite L2
Fishkill, NY 12524-1565

Mailing address

PO Box 152
Lagrangeville, NY 12540-0152
Phone (845) 831-0479

Other identifiers 1

IdentifierTypeStateIssuer
01672797MedicaidNY

National Provider Directory

National Provider Directory

Locations

831 Route 52
Ste L2
Fishkill, NY 12524
Phone (732) 672-6218

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1831387430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125400152",
            "telephone_number": "845-831-0479",
            "fax_number": "845-831-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 ROUTE 52",
            "address_2": "SUITE L2",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241565",
            "telephone_number": "845-831-0479",
            "fax_number": "845-831-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M BALAGHI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "BALAGHI",
        "authorized_official_first_name": "MESBAHEDDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-831-0479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01672797",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.