Individual provider Active NPI

Mitzy Girlie Baldovino

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1992031694
Registry record updated Jan 4, 2012
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Apr 20, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030954 Issued in NY
Practice address
3135 Crescent St Apt 4G
Astoria, NY 11106-3764
Phone
(212) 481-8678
NPI assigned
Oct 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 030954 NY Primary

Addresses

Primary practice location

3135 Crescent St Apt 4G
Astoria, NY 11106-3764

Mailing address

3135 Crescent St Apt 4G
Astoria, NY 11106-3764
Phone (212) 481-8678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
030954NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bukhman MD PC CurrentSince Sep 1, 2015 Accepting new patients
Org Medical PLLC PastSince Apr 1, 2008 Accepting new patients

Locations

5041 Broadway
New York, NY 10034
Phone (212) 942-7770

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1992031694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 CRESCENT ST APT 4G",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063764",
            "telephone_number": "212-481-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 CRESCENT ST APT 4G",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063764",
            "telephone_number": "212-481-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDOVINO",
        "first_name": "MITZY GIRLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.