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PETER BALAZS M.D.
NPI 1891948303
Obstetrics & Gynecology in Paterson, NJ

Active since October 28, 2008PECOS EnrolledAccepts Medicare Assignment
703 MAIN ST, PATERSON, NJ 07503(973) 754-3343 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Peter Balazs M.d. NPPES

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

PETER BALAZS M.D. (NPI 1891948303) is an individual obstetrics & gynecology provider in Paterson, New Jersey, licensed in New Jersey (25MA09162800) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1891948303
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NamePETER BALAZSCredential: M.D.
Location Address703 MAIN STPaterson, NJ 07503-2621
Mailing Address703 Main StPaterson, NJ 07503-2621 · (201) 968-7492
Phone(973) 754-3343
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 28, 2008
Last NPPES UpdateJune 18, 2024
NPPES CertifiedApril 15, 2024
✔ NPI 1891948303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NJ · 25MA09162800✔ Licensed in DE · C1-0027170
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
703 MAIN ST, Paterson, NJ 07503
Open in Google Maps ↗

Other Identifiers 1

Other25 MA09162800NJ · State License

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 and accepts Medicare assignment

Peter Balazs M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800046772
PECOS Enrollment IDI20121031000102, I20200326001975
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

6

Medicare enrollment records show Peter Balazs reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Joseph's Healthcare, Inc.
Same address
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
Mpv New Jersey MD Services PC
9.7 mi
General Practice
250 OLD HOOK RD
Westwood, NJ 07675
  • Reassigned Medicare billing, New Jersey enrollment
  • 189 clinicians in this Medicare group
NPI 1215391271 (201) 781-1387
Palisades Medical Associates LLC
11 mi
Internal Medicine
6045 KENNEDY BLVD, PMA
North Bergen, NJ 07047
  • Reassigned Medicare billing, New Jersey enrollment
  • 32 clinicians in this Medicare group
NPI 1558475087 (201) 453-0322
Practice Associates Medical Group
18 mi
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group
NPI 1427016385 (844) 264-2250
Bayhealth Medical Center, Inc
140 mi
Orthopaedic Surgery
651 BAY ROAD, SUITE 1F
Dover, DE 19901
  • Reassigned Medicare billing, Delaware enrollment
  • 272 clinicians in this Medicare group
NPI 1912766858 (302) 744-7113
Canton-Potsdam Hospital
264 mi
General Acute Care Hospital
50 LEROY STREET
Potsdam, NY 13676
  • Reassigned Medicare billing, New York enrollment
  • 414 clinicians in this Medicare group
NPI 1568548782 (315) 265-3300

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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 20

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

DR. SETAREH SHAMS MD
Obstetrics & Gynecology (Obstetrics)
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2700
ANTOINE MANSOURATI MD
Student in an Organized Health Care Education/Training Program
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2000
KARWAN AMEEN MD
Internal Medicine
703 MAIN ST
PATERSON, NJ 07503
Passaic County (718) 334-4000
SAIF HASAN DO
Student in an Organized Health Care Education/Training Program
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2000
SUSAN MUGALU ANP
Nurse Practitioner (Family)
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-0000
JONATHAN EDWARD MOVSIK
Student in an Organized Health Care Education/Training Program
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2000
DIANE E MCCLURE CPNP
Nurse Practitioner (Neonatal, Critical Care)
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2555
STEPHEN MASSOOD M.D.
Orthopaedic Surgery
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
PATERSON, NJ 07503
Passaic County (973) 754-2270

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 Peter Balazs's NPI number?

The NPI number for Peter Balazs is 1891948303. It was assigned to this individual provider in the NPPES registry on October 28, 2008.

Where is Peter Balazs located?

Peter Balazs practices at 703 Main St, Paterson, NJ 07503. The listed phone number is (973) 754-3343.

What is Peter Balazs's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Peter Balazs enrolled in Medicare?

Yes. Peter Balazs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Peter Balazs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Balazs reassigns Medicare benefits to 6 organizations: St. Joseph's Healthcare, Inc. (Paterson, NJ), Mpv New Jersey MD Services PC (Westwood, NJ), Palisades Medical Associates LLC (North Bergen, NJ), Practice Associates Medical Group (Morristown, NJ), Bayhealth Medical Center, Inc (Dover, DE) and 1 more organization, listed in the Medicare section above. 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 Peter Balazs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Balazs accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Peter Balazs 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 Peter Balazs was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.