Dr. Jack L Baldassare, MD
Radiology, Diagnostic Radiology in Tenafly, New Jersey
1225070121- Practice location
- 220 Oxford Dr, Tenafly, NJ 07670-3118
- Phone
- 201-567-6156
- Fax
- 201-871-8708
- Last updated
- December 15, 2009
Jack Lawrence Baldassare is a Radiology, Diagnostic Radiology based in Tenafly, NJ. Jack Lawrence Baldassare practices in Tenafly, NJ and has the professional credentials of MD. The NPI Number for Jack Lawrence Baldassare is 1225070121 and holds a License No. 25MA3606000 (NJ). The current practice location address for Jack Lawrence Baldassare is 220 Oxford Dr, Tenafly, NJ 07670-3118 and can be reached out via phone at 201-567-6156 and via fax at 201-871-8708.
Provider Profile Details
- NPI Number
- 1225070121
- Provider Name
- Jack Lawrence Baldassare
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 220 Oxford Dr, Tenafly, NJ 07670-3118
- Phone Number
- 201-567-6156
- Fax Number
- 201-871-8708
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Other Names
- Dr. Jack Lawrence Baldasar, MD (Other Name)
- Provider Enumeration Date
- June 12, 2006
- Last Update Date
- December 15, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 220 Oxford Dr
Tenafly, NJ 07670-3118 - City
- Tenafly
- State
- New Jersey
- Zip
- 07670-3118
- Phone Number
- 201-567-6156
- Fax Number
- 201-871-8708
Provider Business Mailing Address Details
- Address
- 220 Oxford Dr
Tenafly, NJ 07670-3118 - City
- Tenafly
- State
- NJ
- Zip
- 07670-3118
- Phone Number
- 201-567-6156
- Fax Number
- 201-871-8708
License Information
- License Number (1)
- 25MA3606000
- License State (1)
- NJ
- Taxonomy (1)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
- License Number (2)
- 124001-1
- License State (2)
- NY
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Radiology, Diagnostic Radiology providers near Tenafly, NJ
View all Radiology, Diagnostic Radiology providers in Tenafly →- Anna B Kelly, MDRadiology, Diagnostic Radiology · NPI 1184655375
- Dr. Christopher M Mele, MDRadiology, Diagnostic Radiology · NPI 1427071067
- Dr. Gail Quackenbush, MDRadiology, Diagnostic Radiology · NPI 1245271048
- Englewood Imaging Center, PARadiology, Diagnostic Radiology · NPI 1285676726
- Jeffrey P Goldman, MDRadiology, Diagnostic Radiology · NPI 1114004009
- Stacey Siegel, MDRadiology, Diagnostic Radiology · NPI 1952339905
Frequently Asked Questions
What is the NPI number of Dr. Jack L Baldassare, MD?
The NPI number of Dr. Jack L Baldassare, MD is 1225070121. It was assigned on June 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jack L Baldassare, MD?
Dr. Jack L Baldassare, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in NJ under license number 25MA3606000.
Where does Dr. Jack L Baldassare, MD practice?
The practice location is 220 Oxford Dr, Tenafly, NJ 07670-3118. The office can be reached at 201-567-6156 (phone) or 201-871-8708 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225070121 directly on the NPPES registry website.