Healthcare Provider Details

I. General information

NPI: 1457218703
Provider Name (Legal Business Name): BALANCEMD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 BROADWAY STE 3
BAYONNE NJ
07002-3846
US

IV. Provider business mailing address

2933 VAUXHALL RD STE 7, #1025
VAUXHALL NJ
07088-1248
US

V. Phone/Fax

Practice location:
  • Phone: 973-346-2436
  • Fax:
Mailing address:
  • Phone: 973-346-2436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. AMEE SODHA
Title or Position: OWNER
Credential:
Phone: 973-346-2436