DR. KAREN BALONZE MD
NPI 1023360203
Internal Medicine in Fair Lawn, NJ

Active since October 11, 2012PECOS EnrolledAccepts Medicare Assignment
31-00 BROADWAY, FAIR LAWN, NJ 07410(201) 796-2255(201) 796-7020 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 9, 2019, Feb 19, 2016 (2 updates tracked since 2016).

About Dr. Karen Balonze Md NPPES

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

DR. KAREN BALONZE MD (NPI 1023360203) is an individual internal medicine provider in Fair Lawn, New Jersey, licensed in New Jersey (25MA09427400) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2011).

NPPES Registry Identity

NPI1023360203
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KAREN BALONZECredential: MD
Location Address31-00 BROADWAYFair Lawn, NJ 07410-3963
Mailing Address31-00 BroadwayFair Lawn, NJ 07410-3963 · (201) 796-2255
Fax(201) 796-7020
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2011
Enumeration DateOctober 11, 2012
Last NPPES UpdateJuly 9, 20192 updates tracked since enumeration
NPI 1023360203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MA09427400
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

31-00 BROADWAY, Fair Lawn, NJ 07410

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

Dr. Karen Balonze Md 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 ID7911203674
PECOS Enrollment IDI20160308000129
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
262 services121 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
91 services69 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
85 services85 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
77 services65 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
68 services59 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
63 services55 patients

Hospital Affiliations CMS Care Compare 4

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310008
Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County
Emergency services Birthing friendly

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07410 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
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.

Internal Medicine (Pulmonary Disease)
31-00 BROADWAY
FAIR LAWN, NJ 07410
Internal Medicine (Rheumatology)
31-00 BROADWAY
FAIR LAWN, NJ 07410
Family Medicine
31-00 BROADWAY, 1ST FLOOR
FAIR LAWN, NJ 07410
Nurse Practitioner (Family)
31-00 BROADWAY, NJ ASSOCIATES IN MEDICINE, PA- 2ND FLOOR
FAIR LAWN, NJ 07410
Nurse Practitioner (Adult Health)
31-00 BROADWAY, 2ND FLOOR
FAIR LAWN, NJ 07410
Physician Assistant
31-00 BROADWAY, 2ND FLOOR
FAIR LAWN, NJ 07410
Physical Therapist
31-00 BROADWAY
FAIR LAWN, NJ 07410
Clinic/Center (Health Service)
31-00 BROADWAY, 1ST FL.
FAIR LAWN, NJ 07410

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023360203, enumerated as an "individual" on October 11, 2012.

The provider is located at 31-00 BROADWAY FAIR LAWN, NJ 07410 and the phone number is (201) 796-2255.

Internal Medicine with taxonomy code 207R00000X.

Karen Balonze is affiliated with: HACKENSACK UNIVERSITY MEDICAL CENTER, HOLY NAME MEDICAL CENTER, VALLEY HOSPITAL and ENGLEWOOD HOSPITAL AND MEDICAL CENTER.