Alexa Leigh Baldassano, AGNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F-309757-01 Issued in NY

Practice address

534 Broadway
Staten Island, NY 10310-2825

Phone

(917) 957-5040

NPI assigned

Mar 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618099200000",
    "number": "1285229518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 BROADWAY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102825",
            "telephone_number": "999-999-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 BROADWAY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102825",
            "telephone_number": "917-957-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDASSANO",
        "first_name": "ALEXA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "AGNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-04-11",
        "certification_date": "2021-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F-309757-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/aa",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "534 Broadway",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103102825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Balancetest,Inc
• Snizhana Balanyuk
• Maria Antonette Balao, PT
• Asvini Balasubramaniam, MD
• Balboa PT
• Jeanette D. Baldassano, PH.D.
• Kelly Baldassano
• Rebekah Baldini
• Stefanie Baldovin
• Asia Baldwin

• Adult Health Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.