BALAISHE BOAKAI BALLO
NPI 1003672346
Nurse Anesthetist, Certified Registered in Camden, NJ

Q: What is Balaishe Ballo's NPI number?

The NPI number for Balaishe Ballo is 1003672346. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Q: What is Balaishe Ballo's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Balaishe Ballo was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 26, 2024Accepts Medicare Assignment

1600 HADDON AVE FL 3, CAMDEN, NJ 08103(856) 988-6260(856) 988-6270 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Balaishe Boakai Ballo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALAISHE BOAKAI BALLO (NPI 1003672346) is an individual nurse anesthetist, certified registered in Camden, New Jersey, licensed in New Jersey (26NJ15034400) and active in the NPI registry since February 2024. He is affiliated with Virtua Our Lady Of Lourdes Hospital, maintains a secondary practice location in Camden, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1003672346

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameBALAISHE BOAKAI BALLO

Location Address1600 HADDON AVE FL 3Camden, NJ 08103-3101

Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 988-6260 · Fax (856) 988-6270

Phone(856) 988-6260

Fax(856) 988-6270

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 26, 2024

Last NPPES UpdateJanuary 14, 2025

NPPES CertifiedJanuary 14, 2025

✔ NPI 1003672346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in NJ · 26NJ15034400✔ Licensed in PA · 147728

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1600 HADDON AVE FL 3, Camden, NJ 08103

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Secondary Practice Location 1

Location 11600 Haddon AveCamden, NJ 08103-3101 · Phone (856) 757-3500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Balaishe Boakai Ballo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618319773

PECOS Enrollment IDI20240522000062

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ

1/5 CMS rating

OwnershipGovernment - State

CMS Certification Number310029

Location1600 Haddon AvenueCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIHAELA NEGREANU CRNA

Nurse Anesthetist, Certified Registered