Individual provider Active NPI

Raymond Michael Baule, MD

  • Neurological Surgery Physician
  • West Islip, NY
National Provider Identifier
1962619023
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
200400101 Issued in NC
Practice address
500 Montauk Hwy Ste K
West Islip, NY 11795-4419
Phone
(252) 903-8657
NPI assigned
May 17, 2007
Last updated
Mar 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 200400101 NC Primary

Addresses

Primary practice location

500 Montauk Hwy Ste K
West Islip, NY 11795-4419

Mailing address

PO Box 112
Saint James, NY 11780-0112
Phone (252) 903-8657

Other identifiers 1

IdentifierTypeStateIssuer
89136TJMedicaidNC

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
I20201214002537 NY Practitioner - Neurosurgery 7214901602 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nitin Mariwalla MD PLLCGroup PAC ID 0941692495, 12 clinicians

Practice addresses (Care Compare)

1175 Montauk Hwy
Suite 3
West Islip, NY 11795-4939
Phone (631) 500-9400

2601 Ocean Pkwy
RM 3N17
Brooklyn, NY 11235-7745
Phone (718) 616-3000

594 Albany Ave
Brooklyn, NY 11203-1706
Phone (646) 694-6680

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion113
Laminectomy or laminotomy (partial removal of spine bones)57

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Aug 8, 2024 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 18, 2025 Accepting new patients
Neurological Surgery Practice of Long Island PLLC Neurological Surgery CurrentSince Sep 4, 2020 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Feb 19, 2024 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 18, 2025 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Nitin Mariwalla MD PLLC Neurological Surgery CurrentSince Jul 11, 2022 Accepting new patients
Midtown Dermatology, PC PastSince Jan 1, 2026 Accepting new patients
Rocky Mount Neurosurgical and Spine Consultants, PA Past Accepting new patients
NSPC Plastics PastSince Sep 4, 2020 Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

2601 Ocean Pkwy
Rm 3N17
Brooklyn, NY 11235
Phone (718) 616-4554

594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

1991 Marcus Ave
Ste 108
New Hyde Park, NY 11042
Phone (516) 442-2250

50 Water St
Fl 3
New York, NY 10004

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

100 Merrick Rd
Ste 100W
Rockville Ctr, NY 11570
Phone (516) 632-7050

100 Merrick Rd
Ste 128W
Rockville Ctr, NY 11570
Phone (516) 255-9031

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

1175 Montauk Hwy
Ste 3
West Islip, NY 11795
Phone (631) 433-1159

500 Montauk Hwy
Ste K
West Islip, NY 11795
Phone (516) 969-1023

Networks

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

Interoperability endpoints

  • Direct secure messaging: rbaule1275635@nychhc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1962619023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117800112",
            "telephone_number": "252-903-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MONTAUK HWY STE K",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954419",
            "telephone_number": "252-903-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAULE",
        "first_name": "RAYMOND",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "200400101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136TJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.