Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Balanced Well Medical Network

Organization Family Medicine Physician · NPI 1295181584

Balanced Well Medical Network is a Family Medicine Physician in Fair Lawn, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.

Licensed in
NJ
In the registry since
2016

Practice location Address checks out

23-08 Maple Ave
Fair Lawn, NJ 07410-1583
Phone: (201) 794-4500
Fax: (201) 794-4502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA09551100 (NJ)

Record details

NPI number1295181584
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBalanced Well Medical
Authorized official Roth Riley — Director · (201) 794-4500
NPI enumeratedMay 5, 2016
Last updated in NPPESMay 5, 2016
Mailing address23-08 Maple Ave, Fair Lawn, NJ 07410-1583

Other providers in Fair Lawn