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

Balaishe Boakai Ballo

Individual provider Certified Registered Nurse Anesthetist · NPI 1003672346

Balaishe Boakai Ballo is a Certified Registered Nurse Anesthetist (CRNA) in Camden, New Jersey. Qualified in 2023, 3 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
3
Licensed in
NJ, PA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1600 Haddon Ave Fl 3
Camden, NJ 08103-3101
Phone: (856) 988-6260
Fax: (856) 988-6270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 Haddon Ave, Camden, NJ 08103-3101 — (856) 757-3500

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 26NJ15034400 (NJ)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 147728 (PA)

Record details

NPI number1003672346
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 26, 2024
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Camden