DR. DOUGLAS A. BALLAN MD
NPI 1508893199
Family Medicine in Fanwood, NJ

Active since June 27, 2006
45 ELM AVE, THIS IS DOCTOR'S HOME; THERE IS NO OFFICE., FANWOOD, NJ 07023(908) 279-3477(908) 345-6111 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Douglas A. Ballan Md NPPES

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

DR. DOUGLAS A. BALLAN MD (NPI 1508893199) is an individual family medicine provider in Fanwood, New Jersey, licensed in New Jersey (MA57331) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1508893199
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DOUGLAS A. BALLANCredential: MD
Location Address45 ELM AVE, THIS IS DOCTOR'S HOME; THERE IS NO OFFICE.Fanwood, NJ 07023-1203
Mailing AddressPo Box 122Scotch Plains, NJ 07076-0122 · (908) 279-3477 · Fax (908) 345-6111
Fax(908) 345-6111
Sole ProprietorYes
Enumeration DateJune 27, 2006
Last NPPES UpdateSeptember 6, 2011
NPI 1508893199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NJ · MA57331
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
45 ELM AVE, Fanwood, NJ 07023

Other Identifiers 2

Medicare UPINF51542
Other733566Medicare Ptan

Other Providers at the Same Location NPPES

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

Family Medicine
45 ELM AVE
FANWOOD, NJ 07023

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 Ballan's NPI number?

The NPI number for Douglas Ballan is 1508893199. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Douglas Ballan located?

Douglas Ballan practices at 45 Elm Ave This Is Doctor's Home; There Is No Office., Fanwood, NJ 07023. The listed phone number is (908) 279-3477.

What is Douglas Ballan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Douglas Ballan was last updated on September 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.