Individual provider Active NPI

Howard Jorge Balbi, MD

  • Pediatric Infectious Diseases Physician
  • Babylon, NY
National Provider Identifier
1942201900
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
169623 Issued in NY
Practice address
655 Deer Park Ave
Babylon, NY 11702-1314
Phone
(631) 321-2100
Fax
(631) 321-2246
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 169623 NY Primary

Addresses

Primary practice location

655 Deer Park Ave
Babylon, NY 11702-1314

Mailing address

655 Deer Park Ave
Babylon, NY 11702-1314
Phone (631) 321-2100

Other identifiers 1

IdentifierTypeStateIssuer
01349164MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040316000807 NY Practitioner - Pediatric MedicinePractitioner - Infectious DiseasePractitioner - Other (Physician) 2769372671 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
169623NYMDPediatric Infectious Diseases Physician

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
Samaritan Pediatric Services, P.C. CurrentSince Mar 1, 2018 Accepting new patients
Nassau Health Care Corporation CurrentSince Oct 16, 2011 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Nassau Health Care Corporation CurrentSince Oct 16, 2011 Accepting new patients

Locations

655 Deer Park Ave
Babylon, NY 11702
Phone (631) 321-2100

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

1111 Montauk Hwy
West Islip, NY 11795
Phone (631) 422-2700

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: hbalbi39506@direct-chsli.net

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1942201900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021314",
            "telephone_number": "631-321-2100",
            "fax_number": "631-321-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021314",
            "telephone_number": "631-321-2100",
            "fax_number": "631-321-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALBI",
        "first_name": "HOWARD",
        "middle_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NY",
            "license": "169623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01349164",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

Verify at the official NPI Registry.