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DOUGLAS BALOGUN
NPI 1063364537
Licensed Practical Nurse in Philadelphia, PA

Active since February 09, 2026
1962 PRATT ST, PHILADELPHIA, PA 19124(267) 367-8613 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas Balogun NPPES

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

DOUGLAS BALOGUN (NPI 1063364537) is an individual licensed practical nurse in Philadelphia, Pennsylvania, licensed in Pennsylvania (PN304365) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1063364537
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameDOUGLAS BALOGUN
Location Address1962 PRATT STPhiladelphia, PA 19124-2135
Mailing Address1962 Pratt StPhiladelphia, PA 19124-2135 · (267) 367-8613
Phone(267) 367-8613
Sole ProprietorYes
Enumeration DateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
✔ NPI 1063364537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in PA · PN304365
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1962 PRATT ST, Philadelphia, PA 19124
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Other Providers at the Same Location NPPES

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

PREBEN HOMECARE LLC
In Home Supportive Care
1962 PRATT ST
PHILADELPHIA, PA 19124
Philadelphia County (267) 367-8613

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 Douglas Balogun's NPI number?

The NPI number for Douglas Balogun is 1063364537. It was assigned to this individual provider in the NPPES registry on February 9, 2026.

Where is Douglas Balogun located?

Douglas Balogun practices at 1962 Pratt St, Philadelphia, PA 19124. The listed phone number is (267) 367-8613.

What is Douglas Balogun's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Douglas Balogun was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.