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AJAY BALLADIN
NPI 1134541733
Nurse Practitioner - Psychiatric/Mental Health in Plainview, NY

Active since January 16, 2014PECOS Enrolled
3 SYLVIA RD, PLAINVIEW, NY 11803(516) 644-0120 Get Directions Write a Review

NPPES record last updated: March 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 22, 2026, Feb 2, 2017 (2 updates tracked since 2017).

About Ajay Balladin NPPES

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

AJAY BALLADIN (NPI 1134541733) is an individual psychiatric/mental health provider in Plainview, New York, licensed in New York (407098) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134541733
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameAJAY BALLADIN
Location Address3 SYLVIA RDPlainview, NY 11803-6424
Mailing Address3 Sylvia RdPlainview, NY 11803-6424
Phone(516) 644-0120
Sole ProprietorYes
Enumeration DateJanuary 16, 2014
Last NPPES UpdateMarch 22, 20262 updates tracked since enumeration
NPPES CertifiedMarch 22, 2026
✔ NPI 1134541733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 407098
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 338235 (NY)
3 SYLVIA RD, Plainview, NY 11803
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ajay Balladin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Ajay Balladin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sun River Health Inc
24 mi
Adult Day Care
1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
NPI 1740763275 (855) 681-8700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11803 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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

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

ALIGN COLLABORATIVE NP IN PSYCHIATRY PLLC
Nurse Practitioner (Psychiatric/Mental Health)
3 SYLVIA RD
PLAINVIEW, NY 11803
Nassau County (516) 644-0120

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 Ajay Balladin's NPI number?

The NPI number for Ajay Balladin is 1134541733. It was assigned to this individual provider in the NPPES registry on January 16, 2014.

Where is Ajay Balladin located?

Ajay Balladin practices at 3 Sylvia Rd, Plainview, NY 11803. The listed phone number is (516) 644-0120.

What is Ajay Balladin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ajay Balladin enrolled in Medicare?

Yes. Ajay Balladin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ajay Balladin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Balladin reassigns Medicare benefits to Sun River Health Inc (Bronx, NY). The 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 Ajay Balladin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ajay Balladin was last updated on March 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.