Active NPI
Alexander V. Baldonado, M.D.
- Family Medicine Physician
- Woodside, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 271367
- Practice address
- 6317 Roosevelt Ave
Woodside, NY 11377-3641 - Phone
- (347) 825-8288
- NPI assigned
- Aug 3, 2006
- Last updated
- Jan 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 271367 | NY | Primary |
Addresses
Primary practice location
6317 Roosevelt Ave
Woodside, NY 11377-3641
Mailing address
PO Box 778249
Woodside, NY 11377-8249
Other practice location 1
14821 Jamaica Ave
Jamaica, NY 11435-4032
Phone (929) 296-7130
Other practice location 2
2320 Avenue U
Brooklyn, NY 11229
Phone (347) 492-4695
Other practice location 3
5718 Woodside Ave Fl 2
Woodside, NY 11377-3415
Phone (347) 825-8288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02061425 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002901 | NY | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahava Medical and Rehabilitation Center, LLC | Current | Accepting new patients | |
| The Parkway Hospital | Past | Accepting new patients | |
| Ny Acute Care Specialists PC | Past | Accepting new patients | |
| Doctor Medical of Ny PC | Family Medicine | Past | Accepting new patients |
Locations
16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500
2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108
Organizations & group practices 5
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.
-
- Rehabilitation Practitioner
- Brooklyn, NY
- NPI 1184878274
-
- Family Medicine Physician
- Bronx, NY
- NPI 1659692812
-
dba Doctors Medical Group
- Family Medicine Physician
- Bronx, NY
- NPI 1831140722
-
- Hospitalist Physician
- Rome, NY
- NPI 1528377892
-
- General Acute Care Hospital
- Forest Hills, NY
- NPI 1124060538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1508874819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 778249",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113778249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6317 ROOSEVELT AVE",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773641",
"telephone_number": "347-825-8288"
}
],
"practiceLocations": [
{
"address_1": "14821 Jamaica Ave",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114354032",
"country_code": "US",
"telephone_number": "929-296-7130",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2320 Avenue U",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "11229",
"country_code": "US",
"telephone_number": "347-492-4695",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5718 Woodside Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Woodside",
"state": "NY",
"postal_code": "113773415",
"country_code": "US",
"telephone_number": "347-825-8288",
"fax_number": "347-730-5850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALDONADO",
"first_name": "ALEXANDER",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "271367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02061425",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.