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DR. TOMAS JOSE BALLESTEROS IV DMD
NPI 1639303860
Dentist in Kenilworth, NJ

Active since May 01, 2009PECOS Enrolled
64 S 23RD ST, KENILWORTH, NJ 07033(339) 221-1551 Get Directions Write a Review

NPPES record last updated: May 1, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tomas Jose Ballesteros Iv Dmd NPPES

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

DR. TOMAS JOSE BALLESTEROS IV DMD (NPI 1639303860) is an individual dentist in Kenilworth, New Jersey, licensed in New York (50 054337) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639303860
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. TOMAS JOSE BALLESTEROS IVCredential: DMD
Location Address64 S 23RD STKenilworth, NJ 07033-1630
Mailing Address64 S 23rd StKenilworth, NJ 07033-1630 · (339) 221-1551
Phone(339) 221-1551
Sole ProprietorYes
Enumeration DateMay 1, 2009
✔ NPI 1639303860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 50 054337
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
64 S 23RD ST, Kenilworth, NJ 07033
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tomas Jose Ballesteros Iv Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07033 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Tomas Ballesteros's NPI number?

The NPI number for Tomas Ballesteros is 1639303860. It was assigned to this individual provider in the NPPES registry on May 1, 2009.

Where is Tomas Ballesteros located?

Tomas Ballesteros practices at 64 S 23rd St, Kenilworth, NJ 07033. The listed phone number is (339) 221-1551.

What is Tomas Ballesteros's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Tomas Ballesteros enrolled in Medicare?

Yes. Tomas Ballesteros is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tomas Ballesteros was last updated on May 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.