Provider Demographics
NPI:1518974963
Name:BALINT, JOSEPH MICHAEL (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:BALINT
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 WYCOFF WAY E
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5625
Mailing Address - Country:US
Mailing Address - Phone:732-613-1309
Mailing Address - Fax:732-613-1520
Practice Address - Street 1:1 WEDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1328
Practice Address - Country:US
Practice Address - Phone:732-613-1309
Practice Address - Fax:732-613-1520
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SCOO17600101YM0800X
NJSC00176101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJR33136Medicare UPIN
NJ640542Medicare PIN