GINA BALAYAN
NPI 1407208978
Pediatrics in Rochdale, NY

Q: What is Gina Balayan's NPI number?

The NPI number for Gina Balayan is 1407208978. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Q: What is Gina Balayan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gina Balayan was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 08, 2016PECOS Enrolled

169-59 137TH AVE, ROCHDALE, NY 11434(718) 525-5600(718) 527-0922 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 5, 2025, May 29, 2025, Sep 21, 2021 (3 updates tracked since 2021).

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About Gina Balayan NPPES

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

GINA BALAYAN (NPI 1407208978) is an individual pediatrics provider in Rochdale, New York, licensed in New York (301786) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1407208978

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameGINA BALAYAN

Location Address169-59 137TH AVERochdale, NY 11434-4517

Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556

Phone(718) 525-5600

Fax(718) 527-0922

Sole ProprietorNo

Enumeration DateJuly 8, 2016

Last NPPES UpdateNovember 5, 20253 updates tracked since enumeration

NPPES CertifiedNovember 5, 2025

✔ NPI 1407208978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NY · 301786✔ Licensed in MD · D0080853

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.

169-59 137TH AVE, Rochdale, NY 11434

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Secondary Practice Locations 3

Location 131-75 23rd StreetAstoria, NY 11106-4134 · Phone (718) 956-2200 · Fax (718) 956-2316

Location 24337 BroadwayNew York, NY 10033-2411 · Phone (212) 568-6300 · Fax (212) 544-5094

Location 33500 Old Washington Rd Ste 101Waldorf, MD 20602-3205 · Phone (301) 645-1133 ext. 51133

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gina Balayan 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 Gina Balayan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advantagecare Physicians PC

12 mi

General Practice

215 E 95TH ST
New York, NY 10128

Reassigned Medicare billing, New York enrollment
724 clinicians in this Medicare group

NPI 1336578772 (212) 996-8000

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 11434 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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 7

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

PHILIP S KWAIT MD

Ophthalmology

169-59 137TH AVE
JAMAICA, NY 11434

Queens County (718) 525-5600

KARL G DERATUS M.D.

Family Medicine