DR. JACK LAWRENCE BALDASSARE MD NPI 1225070121

NPI Details

DR. Jack Lawrence Baldassare, MD is a diagnostic radiology radiology in Tenafly, NJ with 51 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jack Lawrence Baldassare, MD NPI is 1225070121. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:1974

The provider's business location address is:

220 OXFORD DR
TENAFLY, NJ
ZIP 07670-118
Phone: (201) 567-6156
Fax: (201) 871-8708

The NPI 1225070121 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• Complete ultrasound scan of abdomen (HCPCS:76700)
• Ultrasound of leg arteries or artery grafts (HCPCS:93925)
• Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
• Ultrasound scan of head and neck soft tissue (HCPCS:76536)
• Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
• Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
• Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
• Complete ultrasound scan of pelvis (HCPCS:76856)
• Complete ultrasound of within the brain blood flow (HCPCS:93886)
• Ultrasound of within the brain blood flow following medication (HCPCS:93890)
• Ultrasound of within the brain blood flow for blood clots (HCPCS:93892)
• Ultrasound of arm arteries or artery grafts (HCPCS:93930)
• Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
• Electrocardiogram (ecg) 2-day continuous with review and report by health care professional (HCPCS:93224)
• Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional (HCPCS:93229)
• Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional (HCPCS:93228)

The enumeration date for this NPI number is 6/12/2006 and was last updated on 12/15/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.