Active NPI
Life Balance Health Care, LLC
- Infectious Disease Physician
- Galloway, NJ
National Provider Identifier
1851571616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MB055254
- Legal business name
- LIFE BALANCE HEALTH CARE, LLC
- Practice address
- 54 W Jimmie Leeds Rd
Suites 11 & 12
Galloway, NJ 08205-9401 - Phone
- (609) 404-9966
- Fax
- (609) 404-9967
- NPI assigned
- Nov 9, 2007
- Last updated
- Nov 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Deborah D Bayer, D.O.
- Title
- Solo Practioner
- Phone
- (609) 404-9966
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MB055254 | NJ | Primary |
Addresses
Primary practice location
54 W Jimmie Leeds Rd
Suites 11 & 12
Galloway, NJ 08205-9401
Mailing address
54 W Jimmie Leeds Rd
Suites 11 & 12
Galloway, NJ 08205-9401
Phone (609) 404-9966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6194401 | Medicaid | NJ |
Other names 1
- Deborah D. Bayer, D.O.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194566400000",
"number": "1851571616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 W JIMMIE LEEDS RD",
"address_2": "SUITES 11 & 12",
"city": "GALLOWAY",
"state": "NJ",
"postal_code": "082059401",
"telephone_number": "609-404-9966",
"fax_number": "609-404-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 W JIMMIE LEEDS RD",
"address_2": "SUITES 11 & 12",
"city": "GALLOWAY",
"state": "NJ",
"postal_code": "082059401",
"telephone_number": "609-404-9966",
"fax_number": "609-404-9967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE BALANCE HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-09",
"last_updated": "2007-11-09",
"status": "A",
"authorized_official_last_name": "BAYER",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SOLO PRACTIONER",
"authorized_official_telephone_number": "609-404-9966",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NJ",
"license": "MB055254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6194401",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Deborah D. Bayer, D.O.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Galloway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.