Irena Teresa Balawajder, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

150836 Issued in NY

Practice address

Vassar College Health Service 124 Raymond Ave
Box 17
Poughkeepsie, NY 12604-0001

Phone

(845) 437-5800

NPI assigned

Feb 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vassar College

  • Student Health Clinic/Center
  • Poughkeepsie, NY
  • NPI 1790958643
  NPD (past) Authorized official

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1871832162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VASSAR COLLEGE HEALTH SERVICE 124 RAYMOND AVE",
            "address_2": "BOX 17",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126040001",
            "telephone_number": "845-437-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VASSAR COLLEGE HEALTH SERVICE 124 RAYMOND AVE",
            "address_2": "BOX 17",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126040001",
            "telephone_number": "845-437-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAWAJDER",
        "first_name": "IRENA",
        "middle_name": "TERESA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "150836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Baker, CASAC
• Stephen Baker, PA
• Aruna Bakhru, M.D.,F.A.C.P.
• Alexandra Livia Balan, PA
• Jane Balasiano, RPH
• Amoul Balde, LPN
• Deidre Leann Bales-Poirot, APRN, CPNP-PC
• John R. Balfe, PA-C
• Levent Balkir, MD
• Brandon J Ballister, RPA-C

• General Practice Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.