Doctor profile · Federal record
Dr. Connor Balog, DMD
Student in an Organized Health Care Education/Training Program · New York, NY
- NPI 1073177879
- 7 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
550 1St Ave
New York, NY 100166402
(212) 263-5506
Credentials & registration
- NPI registered
- April 2019 — 7 yrs on file
- Profile last updated
- June 11, 2019
- Specialty taxonomy
- 390200000X — NUCC code
- Medicaid
- NY #13-3971298
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1073177879. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$113
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona INC | 1 | $112.77 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
11
Patients
0
Total drug cost
$50
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 11 | 0 | $50 |
Frequently asked questions
What is Dr. Connor Balog's medical specialty?
Dr. Connor Balog practices Student in an Organized Health Care Education/Training Program in New York, NY.
Where does Dr. Connor Balog practice?
Dr. Connor Balog practices at 550 1St Ave, New York, NY 100166402. Office phone: 2122635506.
What is Dr. Connor Balog's NPI?
Dr. Connor Balog's National Provider Identifier (NPI) is 1073177879, issued by NPPES.