Healthcare Provider Details
I. General information
NPI: 1053801530
Provider Name (Legal Business Name): BALANCE MEDICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/10/2018
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
444 MARKET ST STE 2B
SADDLE BROOK NJ
07663-5996
US
IV. Provider business mailing address
147 CHESTNUT ST
EMERSON NJ
07630-1076
US
V. Phone/Fax
- Phone: 201-897-3099
- Fax:
- Phone: 201-986-6108
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0401X |
| Taxonomy | Addiction Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RUBY
R.
KAPADIA
Title or Position: EXECUTIVE PHYSICIAN
Credential: DO
Phone: 484-223-5388