Individual provider Active NPI

Alseny Balde, MD, MPH

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1215004536
Registry record updated Apr 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
250592 Issued in NY
Practice address
1643 Westchester Ave
Bronx, NY 10472-2916
Phone
(718) 328-1900
Fax
(718) 328-1901
NPI assigned
Nov 30, 2006
Last updated
Apr 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 250592 NY Primary

Addresses

Primary practice location

1643 Westchester Ave
Bronx, NY 10472-2916

Mailing address

1643 Westchester Ave
Bronx, NY 10472-2916
Phone (718) 328-1900

Other identifiers 1

IdentifierTypeStateIssuer
03046839MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081216000075 NY Practitioner - Family Practice 6204932163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1643 Westchester Ave
Bronx, NY 10472-2916
Phone (718) 328-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
250592NYMDFamily Medicine Physician
R1247KYMDNeurorehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sciometrix Inc CurrentSince May 25, 2025 Accepting new patients
Jane Todd Crawford Memorial Hospital Inc. Past Accepting new patients
Jane Todd Crawford Memorial Hospital, Inc. Past Accepting new patients
Jane Todd Hospital Radiological Associates,LLC Past Accepting new patients
Breckinridge Health, Inc. Past Accepting new patients
Sciometrix LLC PastSince Oct 10, 2021 Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

1060 Broadway
Ste 100
Menands, NY 12204
Phone (248) 369-3315

Networks

  • Healthfirst Medicare Network H3359

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428105600000",
    "number": "1215004536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722916",
            "telephone_number": "718-328-1900",
            "fax_number": "718-328-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722916",
            "telephone_number": "718-328-1900",
            "fax_number": "718-328-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDE",
        "first_name": "ALSENY",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "250592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03046839",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.