NPIMap

Individual provider Active NPI

Craig Andrew Baldenhofer, M.D.

  • Plastic and Reconstructive Surgery Physician
  • New York, NY
National Provider Identifier
1679755334
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
254993-1 Issued in NY
Practice address
54 W 21St St
RM 307
New York, NY 10010-7373
Phone
(212) 255-9800
Fax
(212) 255-9801
NPI assigned
Dec 4, 2007
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 254993-1 NY Primary

Addresses

Primary practice location

54 W 21St St
RM 307
New York, NY 10010-7373

Mailing address

338 Berry St Apt 6a
Brooklyn, NY 11249-5250
Phone (917) 774-0071

Other practice location 1

247 3rd Ave
RM. 502
New York, NY 10010-7457
Phone (212) 673-0788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000440 NY Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 4183756265 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Louisiana State University School of Medicine in Shreveport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

54 W 21St St
RM 307
New York, NY 10010-7373
Phone (212) 255-9800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision23
Removal of tissue18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos a Charles MD PC CurrentSince Apr 1, 2020 Accepting new patients
Craig Baldenhofer MD PLLC CurrentSince Apr 5, 2020 Accepting new patients
True Dermatology PLLC CurrentSince Apr 1, 2020 Accepting new patients
Floral Park Medical PC Past Accepting new patients
David J. Antell, D.O, PC Plastic and Reconstructive Surgery Past Accepting new patients
Naeem Chaudhry MD PC Past Accepting new patients
Howard D. Solomon, DO, PC Past Accepting new patients

Locations

115 W 27th St
Ste 1001
New York, NY 10001
Phone (212) 243-6700

54 W 21st St
Rm 307
New York, NY 10010
Phone (212) 255-9800

Interoperability endpoints

  • Direct secure messaging: cbaldenhofer23403@direct-chsli.net
  • Direct secure messaging: cbaldenhofer307929@nyumc.direct-ci.com
  • Direct secure messaging: cbaldenhofer67928@northwell.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1679755334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 BERRY ST APT 6A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112495250",
            "telephone_number": "917-774-0071",
            "fax_number": "212-255-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W 21ST ST",
            "address_2": "RM 307",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107373",
            "telephone_number": "212-255-9800",
            "fax_number": "212-255-9801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "247 3rd Ave",
            "address_2": "RM. 502",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100107457",
            "country_code": "US",
            "telephone_number": "212-673-0788",
            "fax_number": "212-533-8623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDENHOFER",
        "first_name": "CRAIG",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "254993-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.