Organization Active NPI

Life Balance Health Care, LLC

  • Infectious Disease Physician
  • Galloway, NJ
National Provider Identifier
1851571616
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MB055254 Issued in NJ
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6194401MedicaidNJ

Other names 1

  • Deborah D. Bayer, D.O. Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.