Dr Karen Balonze, MD - Medicare Internal Medicine in Fair Lawn, NJ

Dr Karen Balonze, MD is a medicare enrolled "Internal Medicine" physician in Fair Lawn, New Jersey. She went to Rutgers R W Johnson Medical School (cam/new Bruns/pisc) and graduated in 2011 and has 13 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Summit Medical Group Pa and her current practice location is 31-00 Broadway, Fair Lawn, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 796-2255.

Dr Karen Balonze is licensed to practice in New Jersey (license number 25MA09427400) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023360203.

Contact Information

Dr Karen Balonze, MD
31-00 Broadway,
Fair Lawn, NJ 07410-3963
(201) 796-2255
(201) 796-7020

Map and Direction




Physician's Profile

Full NameDr Karen Balonze
GenderFemale
SpecialityInternal Medicine
Experience13 Years
Location31-00 Broadway, Fair Lawn, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Karen Balonze attended and graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 2011
  NPI Data:
  • NPI Number: 1023360203
  • Provider Enumeration Date: 10/11/2012
  • Last Update Date: 07/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7911203674
  • Enrollment ID: I20160308000129

Medical Identifiers

Medical identifiers for Dr Karen Balonze such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023360203NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA09427400 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Valley HospitalRidgewood, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761253

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Karen Balonze allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Karen Balonze is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Karen Balonze, MD
31-00 Broadway,
Fair Lawn, NJ 07410-3963

Ph: (201) 796-2255
Dr Karen Balonze, MD
31-00 Broadway,
Fair Lawn, NJ 07410-3963

Ph: (201) 796-2255

Reviews and Comments


Internal Medicine Doctors in Fair Lawn, NJ

Dr. Ritesh Kalra, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15-01 Broadway Ste 8, Fair Lawn, NJ 07410
Phone: 201-796-8060    Fax: 201-796-8070
Rahul Agarwal, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 31-00 Broadway, Fair Lawn, NJ 07410
Phone: 201-268-7415    Fax: 551-455-6780
Dr. Lawrence Joseph Berman, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20-20 Fair Lawn Ave, Fair Lawn, NJ 07410
Phone: 201-703-0202    Fax: 201-703-1231
Dr. Raghunandan S Loganathan, MD, FCCP
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 31-00 Broadway, Fair Lawn, NJ 07410
Phone: 973-777-7377    Fax: 973-777-3806
Dima Yeshou, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12-04 Saddle River Rd, Fair Lawn, NJ 07410
Phone: 201-773-8710    Fax: 201-773-8711
Dr. Christine Aquino, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 31-00 Broadway, Fair Lawn, NJ 07410
Phone: 201-796-2255    Fax: 201-796-7020

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.