Active NPI
Robert Baldi
- Dentist
- Brentwood, NY
National Provider Identifier
1467910968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 061130
- Practice address
- 751 Commack Rd
Brentwood, NY 11717-7407 - Phone
- (631) 665-2323
- NPI assigned
- Mar 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 061130 | NY | Primary |
Addresses
Primary practice location
751 Commack Rd
Brentwood, NY 11717-7407
Mailing address
10 Marion PL
Massapequa Park, NY 11762-3536
Phone (631) 626-7912
Other practice location 1
17605 137th Ave
Jamaica, NY 11434-4531
Phone (718) 528-5949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061130 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1467910968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MARION PL",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117623536",
"telephone_number": "631-626-7912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 COMMACK RD",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117177407",
"telephone_number": "631-665-2323"
}
],
"practiceLocations": [
{
"address_1": "17605 137th Ave",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114344531",
"country_code": "US",
"telephone_number": "718-528-5949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALDI",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-04",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "061130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.