Balanced Well Medical Network
Family Medicine in Fair Lawn, New Jersey
1295181584- Practice location
- 23-08 Maple Ave, Fair Lawn, NJ 07410-1583
- Phone
- 201-794-4500
- Fax
- 201-794-4502
- Last updated
- May 5, 2016
Balanced Well Medical Network is a healthcare organization based in Fair Lawn, NJ. Balanced Well Medical Network practices in Fair Lawn, NJ. The NPI Number for Balanced Well Medical Network is 1295181584 and holds a License No. 25ma09551100 (NJ). The current practice location address for Balanced Well Medical Network is 23-08 Maple Ave, Fair Lawn, NJ 07410-1583 and can be reached out via phone at 201-794-4500 and via fax at 201-794-4502.
Provider Profile Details
- NPI Number
- 1295181584
- Provider Name
- Balanced Well Medical Network
- Provider Entity Type
- Organization
- Address
- 23-08 Maple Ave, Fair Lawn, NJ 07410-1583
- Phone Number
- 201-794-4500
- Fax Number
- 201-794-4502
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- Yes
- Parent Organization
- Balanced Well Medical
- Authorized Official
- Dr. Roth Leon Riley, MD · Director · 201-794-4500
- Provider Enumeration Date
- May 5, 2016
- Last Update Date
- May 5, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 23-08 Maple Ave
Fair Lawn, NJ 07410-1583 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-1583
- Phone Number
- 201-794-4500
- Fax Number
- 201-794-4502
Provider Business Mailing Address Details
- Address
- 23-08 Maple Ave
Fair Lawn, NJ 07410-1583 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-1583
- Phone Number
- 201-794-4500
- Fax Number
- 201-794-4502
License Information
- License Number
- 25ma09551100
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Network?
The NPI number of Balanced Well Medical Network is 1295181584. It was assigned on May 5, 2016 and is currently active in the NPPES registry.
What is the specialty of Balanced Well Medical Network?
Balanced Well Medical Network is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25ma09551100.
Where does Balanced Well Medical Network practice?
The practice location is 23-08 Maple Ave, Fair Lawn, NJ 07410-1583. The office can be reached at 201-794-4500 (phone) or 201-794-4502 (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 1295181584 directly on the NPPES registry website.