Marc Salim Ballas, M.D., M.P.H.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

229026 Issued in NY

Practice address

160 E 34TH St
RM 820
New York, NY 10016-4744

Phone

(212) 731-6645

Fax

(212) 731-5545

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Mourad Salim Ballas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1952527269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RESEARCH PKWY",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921951",
            "telephone_number": "203-677-5252",
            "fax_number": "203-677-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 34TH ST",
            "address_2": "RM 820",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164744",
            "telephone_number": "212-731-6645",
            "fax_number": "212-731-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLAS",
        "first_name": "MARC",
        "middle_name": "SALIM",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "62998",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "229026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOURAD",
            "last_name": "BALLAS",
            "middle_name": "SALIM",
            "prefix": "DR.",
            "credential": "MD MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kanika Aniruddha Ballal, PT, MS
• Kanika Ballani, PHARM.D.
• Claire Ballard, PHYSICIAN ASSISTANT
• Elizabeth Ballard
• Michael Ballard, DNP
• Martina Ballast, DDS
• Alexander Ballatori
• Kate Marion Ballen, LMSW
• Samantha Ballengee
• Alyssa Rose Ballentine, RN

• Medical Oncology Physician in New York, NY
• Providers in New York, NY by specialty
• Medical Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.