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

Justin Balavram

Individual provider Physical Therapist · NPI 1609325190

Justin Balavram is a Physical Therapist in Private Practice in Hackensack, New Jersey. Graduated from State University of New York at Buffalo School of Medicine in 2016, 10 years ago. Practices with Gramercy Medical Pain Management PA, a 2-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
10
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NJ
In the registry since
2016
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Practice location Address checks out

605 Main St
Hackensack, NJ 07601-5914
Phone: (201) 488-0488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01695700 (NJ)

Record details

NPI number1609325190
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 26, 2016
Last updated in NPPESSeptember 26, 2016
Mailing address8 Walnut Ct, New City, NY 10956-5429

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Gramercy Medical Pain Management Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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