MEDICARE: DR. DANILO BALATBAT VENTURA JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	25MA12317300	NJ

General Provider Information

NPI Number	:	1255917670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANILO BALATBAT VENTURA JR. MD

Provider Business Mailing Address
First Line	:	2119 ROUTE 88 E
Second Line	:
City	:	BRICK
State	:	NJ
Zip	:	08724-3227
Country	:	US
Telephone Number	:	732-899-0008
Fax Number	:	732-899-0447

Provider Business Practice Location Address
First Line	:	2119 ROUTE 88 E
Second Line	:
City	:	BRICK
State	:	NJ
Zip	:	08724-3227
Country	:	US
Telephone Number	:	732-899-0008
Fax Number	:	732-899-0447

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2021
Last Update Date	:	06/10/2026

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