Individual provider Active NPI

Rudolph Laurence Baldeo, M.D.

  • Pediatrics Physician
  • Mineola, NY
National Provider Identifier
1902984339
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
240897 Issued in NY
Practice address
Winthrop University Hospital
259 First Street
Mineola, NY 11501
Phone
(516) 663-8767
NPI assigned
Nov 2, 2006
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 240897 NY Primary

Addresses

Primary practice location

Winthrop University Hospital
259 First Street
Mineola, NY 11501

Mailing address

364 Old Country Rd
Mineola, NY 11501-4124
Phone (516) 739-3360

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070905000255 NY Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 7113026667 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240897NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Emergency Medicine Services, P.C. CurrentSince Nov 1, 2019 Accepting new patients
CHS Physician Partners, P.C CurrentSince Jan 1, 2021 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Island Emergency Medical Services, P.C. CurrentSince Mar 5, 2016 Accepting new patients
Island Medical Empire State, PLLC Past Accepting new patients
Island Medical House Doctor PC PastSince Feb 5, 2009 Accepting new patients
Good Samaritan Hospital Past Accepting new patients

Locations

374 Stockholm St
#137N
Brooklyn, NY 11237
Phone (718) 963-6485

101 Northern Blvd
Greenvale, NY 11548
Phone (516) 629-2090

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1902984339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 OLD COUNTRY RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014124",
            "telephone_number": "516-739-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WINTHROP UNIVERSITY HOSPITAL",
            "address_2": "259 FIRST STREET",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-663-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDEO",
        "first_name": "RUDOLPH",
        "middle_name": "LAURENCE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "240897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.