Joshua D Balog, MD
Internal Medicine, Clinical Cardiac Electrophysiology in Fair Lawn, New Jersey
1508824566- Practice location
- 22-18 Broadway Ste 102, Fair Lawn, NJ 07410-3016
- Phone
- 201-414-9766
- Fax
- 201-414-9751
- Last updated
- April 28, 2022
Joshua D Balog is an Internal Medicine, Clinical Cardiac Electrophysiology based in Fair Lawn, NJ. Joshua D Balog practices in Fair Lawn, NJ and has the professional credentials of MD. The NPI Number for Joshua D Balog is 1508824566 and holds a License No. 227702 (MA). The current practice location address for Joshua D Balog is 22-18 Broadway Ste 102, Fair Lawn, NJ 07410-3016 and can be reached out via phone at 201-414-9766 and via fax at 201-414-9751.
Provider Profile Details
- NPI Number
- 1508824566
- Provider Name
- Joshua D Balog
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 22-18 Broadway Ste 102, Fair Lawn, NJ 07410-3016
- Phone Number
- 201-414-9766
- Fax Number
- 201-414-9751
- Primary Taxonomy
- Internal Medicine, Clinical Cardiac Electrophysiology · 207RC0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 1, 2006
- Last Update Date
- April 28, 2022
- Certification Date
- April 28, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22-18 Broadway Ste 102
Fair Lawn, NJ 07410-3016 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-3016
- Phone Number
- 201-414-9766
- Fax Number
- 201-414-9751
Provider Business Mailing Address Details
- Address
- 22-18 Broadway Ste 201
Fair Lawn, NJ 07410-3016 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-3016
- Phone Number
- 201-475-5050
- Fax Number
- 201-475-5522
License Information
- License Number (1)
- 227702
- License State (1)
- MA
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 25MA08816800
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine, Cardiovascular Disease · 207RC0000X
- License Number (3)
- 25MA08816800
- License State (3)
- NJ
- Taxonomy (3)
- Internal Medicine, Clinical Cardiac Electrophysiology · 207RC0001X · 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 Joshua D Balog, MD?
The NPI number of Joshua D Balog, MD is 1508824566. It was assigned on May 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Joshua D Balog, MD?
Joshua D Balog, MD is registered under the primary taxonomy Internal Medicine, Clinical Cardiac Electrophysiology (code 207RC0001X), licensed in MA under license number 227702.
Where does Joshua D Balog, MD practice?
The practice location is 22-18 Broadway Ste 102, Fair Lawn, NJ 07410-3016. The office can be reached at 201-414-9766 (phone) or 201-414-9751 (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 1508824566 directly on the NPPES registry website.