Active NPIOrganization

Balanced Well Medical

Internal Medicine in Fair Lawn, New Jersey

NPI Number1154704831
Practice location
26-01 Pellack Dr, Fair Lawn, NJ 07410-3723
Fax
201-794-4500
Last updated
July 21, 2022

Balanced Well Medical is a healthcare organization based in Fair Lawn, NJ. Balanced Well Medical practices in Fair Lawn, NJ. The NPI Number for Balanced Well Medical is 1154704831. The current practice location address for Balanced Well Medical is 26-01 Pellack Dr, Fair Lawn, NJ 07410-3723 and can be reached out via phone at 201-794-4500 and via fax at 201-794-4500.

Provider Profile Details

NPI Number
1154704831
Provider Name
Balanced Well Medical
Provider Entity Type
Organization
Address
26-01 Pellack Dr, Fair Lawn, NJ 07410-3723
Phone Number
201-794-4500
Fax Number
201-794-4500
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. Roth Riley, MD · Owner/President · 201-794-4500
Provider Enumeration Date
June 30, 2015
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
26-01 Pellack Dr
Fair Lawn, NJ 07410-3723
Zip
07410-3723
Phone Number
201-794-4500
Fax Number
201-794-4500
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
26-01 Pellack Dr
Fair Lawn, NJ 07410-3723
City
Fair Lawn
State
NJ
Zip
07410-3723
Phone Number
973-742-6206
Fax Number
973-742-6206

License Information

License State (1)
NJ
Taxonomy (1)
Chiropractor · 111N00000X
License State (2)
NJ
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Balanced Well Medical?

The NPI number of Balanced Well Medical is 1154704831. It was assigned on June 30, 2015 and is currently active in the NPPES registry.

What is the specialty of Balanced Well Medical?

Balanced Well Medical is registered under the primary taxonomy Internal Medicine (code 207R00000X).

Where does Balanced Well Medical practice?

The practice location is 26-01 Pellack Dr, Fair Lawn, NJ 07410-3723. The office can be reached at 201-794-4500 (phone) or 201-794-4500 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154704831 directly on the NPPES registry website.

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