Organization Active NPI

Balance Group LLC

  • Community/Retail Pharmacy
  • Trenton, NJ
National Provider Identifier
1891513008
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BALANCE GROUP LLC
Doing business as
Mercer Pharmacy
Practice address
359 Pennington Ave Ste 3
Trenton, NJ 08618-3615
Phone
(609) 503-5887
Fax
(609) 503-5466
NPI assigned
Sep 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Guzel I ZolkornyaevaNPI 1861931073
Title
Owner/Pic
Phone
(609) 503-5887

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

359 Pennington Ave Ste 3
Trenton, NJ 08618-3615

Mailing address

359 Pennington Ave Ste 3
Trenton, NJ 08618-3615
Phone (609) 503-5887

Other identifiers 1

IdentifierTypeStateIssuer
1043226MedicaidNJ

Other names 1

  • Mercer Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241119000417 NJ Part B Supplier - Pharmacy 7113452848 Practice locations: Trenton, NJ

National Provider Directory

National Provider Directory

Locations

359 Pennington Ave
Ste 3
Trenton, NJ 08618
Phone (609) 503-5887

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": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1891513008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 PENNINGTON AVE STE 3",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086183615",
            "telephone_number": "609-503-5887",
            "fax_number": "609-503-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 PENNINGTON AVE STE 3",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086183615",
            "telephone_number": "609-503-5887",
            "fax_number": "609-503-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "ZOLKORNYAEVA",
        "authorized_official_first_name": "GUZEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "609-503-5887"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043226",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercer Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercer Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.