Provider Demographics
NPI:1518185594
Name:THE BALANCE CENTER, PC
Entity Type:Organization
Organization Name:THE BALANCE CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARKAT
Authorized Official - Middle Name:A
Authorized Official - Last Name:JAFERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-584-6221
Mailing Address - Street 1:2067 KLOCKNER ROAD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690
Mailing Address - Country:US
Mailing Address - Phone:609-584-6221
Mailing Address - Fax:609-584-6224
Practice Address - Street 1:2067 KLOCKNER RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3414
Practice Address - Country:US
Practice Address - Phone:609-584-6221
Practice Address - Fax:609-584-6224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04676700225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========OtherHORIZON
NJ578344WD8Medicare PIN