Active NPI
Jordan Baldasare, AU.D.
- Audiologist
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY2206
- Practice address
- 12193 Pembroke Rd Ste 313
Pembroke Pines, FL 33025-1727 - Phone
- (954) 435-8820
- NPI assigned
- Jul 16, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY2206 | FL | Primary |
Addresses
Primary practice location
12193 Pembroke Rd Ste 313
Pembroke Pines, FL 33025-1727
Mailing address
3801 W State Road 84 Unit 304
Davie, FL 33312-8813
Phone (757) 813-9182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1601 Clint Moore Rd
Suite 135
Boca Raton, FL 33487-5714
Phone (561) 391-3333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates of Florida, LLC | Current | Accepting new patients | |
| Hearusa Inc | Past | Accepting new patients |
Locations
6421 Congress Ave
Ste 113
Boca Raton, FL 33487
Phone (561) 338-3267
1601 Clint Moore Rd
Ste 135
Boca Raton, FL 33487
Phone (561) 300-1792
900 NW 13th St
Ste 206
Boca Raton, FL 33486
Phone (561) 338-3267
1601 Clint Moore Rd
Ste 105
Boca Raton, FL 33487
Phone (561) 391-3333
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Boca Raton, FL
- NPI 1164473120
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1801372644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 W STATE ROAD 84 UNIT 304",
"city": "DAVIE",
"state": "FL",
"postal_code": "333128813",
"telephone_number": "757-813-9182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12193 PEMBROKE RD STE 313",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330251727",
"telephone_number": "954-435-8820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDASARE",
"first_name": "JORDAN",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-16",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY2206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.