Individual provider Active NPI

Marek Balutowski, MD

  • Family Medicine Physician
  • New Paltz, NY
National Provider Identifier
1942259643
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
229502 Issued in NY
Practice address
279 Main St
Suite 102
New Paltz, NY 12561-1623
Phone
(845) 255-2930
Fax
(845) 255-3089
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 229502 NY Primary

Addresses

Primary practice location

279 Main St
Suite 102
New Paltz, NY 12561-1623

Mailing address

279 Main St
Suite 204
New Paltz, NY 12561-1623
Phone (845) 255-3046

Other identifiers 1

IdentifierTypeStateIssuer
02489783MedicaidNY

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
I20040325000193 NY Practitioner - Family Practice 2466344601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

279 Main St
New Paltz, NY 12561-1623
Phone (845) 255-2930

Hospital & facility affiliations

  • Willcare Chha (Newburgh) Home health agency, Newburgh, NY, CCN 337408
  • Archcare at Home Home health agency, Valhalla, NY, CCN 337140
  • Ellenville Regional Hospital Hospital, Ellenville, NY, CCN 331310
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Healthalliance Hospital Marys Avenue Campus Hospital, Kingston, NY, CCN 330224
  • Ellenville Regional Hospital Nursing home, CCN 33Z310

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Family Medicine CurrentSince Mar 1, 2007 Accepting new patients
The Institute for Family Health Family Medicine CurrentSince Mar 1, 2007 Accepting new patients
The Institute for Family Health Family Medicine Past Accepting new patients
Mid-Hudson Family Health Institute Family Medicine Past Accepting new patients
Westchester-Ellenville Hospital, Inc. Past Accepting new patients

Locations

279 Main St
Ste 102
New Paltz, NY 12561
Phone (845) 255-2930

279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930

279 Main St
New Paltz, NY 12561
Phone (845) 255-2930

279 Main St
Ste 201
New Paltz, NY 12561
Phone (845) 255-2930

279 Main St
Ste 204
New Paltz, NY 12561
Phone (845) 255-3046

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

Networks

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

Interoperability endpoints

  • Direct secure messaging: marek.balutowski.1@13746.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1942259643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 MAIN ST",
            "address_2": "SUITE 204",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611623",
            "telephone_number": "845-255-3046",
            "fax_number": "845-255-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 MAIN ST",
            "address_2": "SUITE 102",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611623",
            "telephone_number": "845-255-2930",
            "fax_number": "845-255-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALUTOWSKI",
        "first_name": "MAREK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "229502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02489783",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paltz, NY

Sources for this page

Verify at the official NPI Registry.