Active NPI
Gordon H Baltuch, MD
- Neurological Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 312637
- Practice address
- 710 W 168TH St FL 4
New York, NY 10032-3726 - Phone
- (212) 305-6092
- Fax
- (212) 305-2026
- NPI assigned
- Jun 20, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 312637 | NY | Primary |
| Neurological Surgery Physician | 207T00000X | G87701 | CA | |
| Neurological Surgery Physician | 207T00000X | 25MA08687700 | NJ | |
| Neurological Surgery Physician | 207T00000X | MD058514L | PA |
Addresses
Primary practice location
710 W 168TH St FL 4
New York, NY 10032-3726
Mailing address
710 W 168TH St FL 4
New York, NY 10032-3726
Phone (212) 305-6092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015989750001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 Grand Ave
Suite 1
Englewood, NJ 07631-4968
Phone (212) 342-8586
622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G87701 | CA | MD | Neurological Surgery Physician |
| MD058514L | PA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, PC | Neurological Surgery | Current | Accepting new patients |
| Clinical Health Care Associates of New Jersey, PC | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, P.C. | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Columbia Doctors of New Jersey, P. C. | Current | Accepting new patients | |
| Columbia Doctors of New Jersey, P. C. | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients |
Locations
1865 Route 70 E
Ste 220
Cherry Hill, NJ 08003
Phone (856) 429-0505
3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113
500 Grand Ave
Fl 1
Englewood, NJ 07631
Phone (201) 227-1760
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
710 W 168th St
Fl 4
New York, NY 10032
Phone (212) 304-7190
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
3400 Spruce St
Fl 3
Philadelphia, PA 19104
235 S 8th St
Philadelphia, PA 19106
Phone (215) 543-2770
3400 Spruce St
Fl 5
Philadelphia, PA 19104
Phone (215) 662-2777
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Ridgewood, NJ
- NPI 1144459991
-
- Pulmonary Disease Physician
- Cherry Hill, NJ
- NPI 1508019241
Neurological Surgery
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1447260435
-
- Plastic Surgery Physician
- Cherry Hill, NJ
- NPI 1205285574
-
- Orthopaedic Surgery Physician
- Englewood, NJ
- NPI 1184202822
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Philadelphia, PA
- NPI 1811385834
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1932144094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 W 168TH ST FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323726",
"telephone_number": "212-305-6092",
"fax_number": "215-829-6645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 W 168TH ST FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323726",
"telephone_number": "212-305-6092",
"fax_number": "212-305-2026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALTUCH",
"first_name": "GORDON",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NY",
"license": "312637",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "G87701",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NJ",
"license": "25MA08687700",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "PA",
"license": "MD058514L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015989750001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.
- 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.