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HELEN M. BALUYOT MD
NPI 1164425625
Pediatrics in Paterson, NJ

Active since May 27, 2005PECOS Enrolled
641 MAIN ST, PATERSON, NJ 07503(973) 754-2575(973) 754-2579 Get Directions Write a Review

NPPES record last updated: January 10, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Helen M. Baluyot Md NPPES

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

HELEN M. BALUYOT MD (NPI 1164425625) is an individual pediatrics provider in Paterson, New Jersey, licensed in New Jersey (MA64305) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164425625
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameHELEN M. BALUYOTCredential: MD
Location Address641 MAIN STPaterson, NJ 07503-3028
Mailing Address641 Main StPaterson, NJ 07503-3028 · (973) 754-2575 · Fax (973) 754-2579
Phone(973) 754-2575
Fax(973) 754-2579
Sole ProprietorNo
Enumeration DateMay 27, 2005
Last NPPES UpdateJanuary 10, 2013
✔ NPI 1164425625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · MA64305
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
641 MAIN ST, Paterson, NJ 07503
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Other Identifiers 2

Medicare UPING63700NJ
Medicaid7826702NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Helen M. Baluyot Md 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 Reassignments

2

Medicare enrollment records show Helen Baluyot reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Joseph's Healthcare, Inc.
0.2 mi
Internal Medicine
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Josephs Healthcare Inc
  • 372 clinicians in this Medicare group
NPI 1497791297 (973) 754-2000
St Josephs Medical Group PC
0.2 mi
Internal Medicine
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 317 clinicians in this Medicare group
NPI 1205425519 (973) 754-2000

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 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 2

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

SARA PARISI LCSW
Social Worker
641 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-4751
LORRAINE SCHROERS A.P.N.
Nurse Practitioner
641 MAIN ST, GREAT FALLS PEDIATRICS
PATERSON, NJ 07503
Passaic County (973) 754-2575

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 Helen Baluyot's NPI number?

The NPI number for Helen Baluyot is 1164425625. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Helen Baluyot located?

Helen Baluyot practices at 641 Main St, Paterson, NJ 07503. The listed phone number is (973) 754-2575.

What is Helen Baluyot's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Helen Baluyot enrolled in Medicare?

Yes. Helen Baluyot is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Helen Baluyot's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Helen Baluyot reassigns Medicare benefits to 2 organizations: St. Joseph's Healthcare, Inc. (Paterson, NJ) and St Josephs Medical Group PC (Paterson, 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 Helen Baluyot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Helen Baluyot accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Helen Baluyot as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Helen Baluyot was last updated on January 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.