DR. JERRY RAY BALENTINE D.O. NPI 1376537050

NPI Information

NPI: 1376537050
Provider Name: DR. JERRY RAY BALENTINE, D.O.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address: 4422 3RD AVE
ST.BARNABAS HOSPITAL
BRONX, NY
ZIP 10457
Phone: (718) 960-6371

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NPI Details

DR. Jerry Ray Balentine, D.O. is an emergency medicine in Bronx, NY. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Jerry Ray Balentine, D.O. NPI is 1376537050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4422 3RD AVE
ST.BARNABAS HOSPITAL
BRONX, NY
ZIP 10457-545
Phone: (718) 960-6371

The enumeration date for this NPI number is 9/8/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		181012	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F34896	MEDICARE UPIN	NEW YORK
2	74K521	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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