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DR. JEROME EDWARD BALBIN M.D.
NPI 1043638638
Emergency Medicine in Paterson, NJ

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment
703 MAIN STREET, DEPARTMENT OF EMERGENCY MEDICINE, PATERSON, NJ 07503(973) 754-2000(201) 212-6735 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2025, Apr 22, 2019, Apr 19, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Jerome Edward Balbin M.d. NPPES

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

DR. JEROME EDWARD BALBIN M.D. (NPI 1043638638) is an individual emergency medicine provider in Paterson, New Jersey, licensed in New Jersey (25MA10520800) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2014).

NPPES Registry Identity

NPI1043638638
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JEROME EDWARD BALBINCredential: M.D.
Location Address703 MAIN STREET, DEPARTMENT OF EMERGENCY MEDICINEPaterson, NJ 07503
Mailing Address703 Main Street, Department Of Emergency MedicinePaterson, NJ 07503
Phone(973) 754-2000
Fax(201) 212-6735
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2014
Enumeration DateApril 1, 2014
Last NPPES UpdateJuly 8, 20254 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1043638638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NJ · 25MA10520800✔ Licensed in NY · 291566
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
703 MAIN STREET, Paterson, NJ 07503
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jerome Edward Balbin M.d. 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 ID9739421843
PECOS Enrollment IDI20190501002409
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jerome Edward Balbin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Passaic River Physicians, LLC
Same address
Emergency Medicine
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 138 clinicians in this Medicare group
NPI 1962162644 (973) 754-2000
St. Joseph's Emergency Physicians Inc
Same address
Emergency Medical Services
703 MAIN ST, EMERGENCY DEPARTMENT
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 88 clinicians in this Medicare group
NPI 1568791192 (973) 754-2000
Ketarevive, Inc
5.7 mi
Emergency Medicine
541 CEDAR HILL AVE, 2ND FLOOR
Wyckoff, NJ 07481
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1235977893 (201) 212-6735
Barron Emergency Physicians LLC
82 mi
Emergency Medicine
1140 ROUTE 72 W
Manahawkin, NJ 08050
  • Reassigned Medicare billing, New Jersey enrollment
  • 239 clinicians in this Medicare group
NPI 1790736940 (954) 939-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
96 services93 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
89 services78 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
80 services78 patients

Hospital Affiliations CMS Care Compare

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

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07503 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

DR. ANAND KUMAR SWAMINATHAN MD
Emergency Medicine
703 MAIN STREET, EMERGENCY MEDICINE DEPT.
PATERSON, NJ 07503
Passaic County (973) 754-2240
DR. WILLIAM R VENTURA MD
Anesthesiology
703 MAIN STREET
PATERSON, NJ 07503
Passaic County (973) 754-2000
BELLE WOO C.R.N.A.
Nurse Anesthetist, Certified Registered
703 MAIN STREET
PATERSON, NJ 07503
Passaic County (973) 754-2000
DR. HARIS KALATOUDIS M.D.
Internal Medicine (Critical Care Medicine)
703 MAIN STREET, MEDICINE DEPARTMENT
PATERSON, NJ 07503
Passaic County (973) 754-2000
KATRINA JAVELOSA VILLEGAS
Student in an Organized Health Care Education/Training Program
703 MAIN STREET, ST. JOSEPH'S HEALTH - DEPARTMENT OF INTERNAL MEDICINE
PATERSON, NJ 07503
Passaic County (973) 754-2431
DR. GEORGINA MARIA SESANA MD
Anesthesiology
703 MAIN STREET
PATERSON, NJ 07503
Passaic County (973) 754-2000
JAIME L. PULA PHD, RD
Dietitian, Registered
703 MAIN STREET
PATERSON, NJ 07503
Passaic County (973) 754-2052
MUHAMMAD ANEES KHAN MD
Internal Medicine (Pulmonary Disease)
703 MAIN STREET
PATERSON, NJ 07503
Passaic County (973) 754-2450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerome Edward Balbin's NPI number?

The NPI number for Jerome Edward Balbin is 1043638638. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Jerome Edward Balbin located?

Jerome Edward Balbin practices at 703 Main Street Department Of Emergency Medicine, Paterson, NJ 07503. The listed phone number is (973) 754-2000.

What is Jerome Edward Balbin's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jerome Edward Balbin enrolled in Medicare?

Yes. Jerome Edward Balbin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jerome Edward Balbin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerome Edward Balbin reassigns Medicare benefits to 4 organizations: Passaic River Physicians, LLC (Paterson, NJ), St. Joseph's Emergency Physicians Inc (Paterson, NJ), Ketarevive, Inc (Wyckoff, NJ) and Barron Emergency Physicians LLC (Manahawkin, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerome Edward Balbin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jerome Edward Balbin affiliated with any hospitals?

According to CMS data, Jerome Edward Balbin is affiliated with St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Jerome Edward Balbin was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.