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DANIELA J BALDI MD
NPI 1245235399
Internal Medicine in Lakewood, NJ

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
1771 MADISON AVE, LAKEWOOD, NJ 08701(732) 364-2144(732) 364-3559 Get Directions Write a Review

NPPES record last updated: May 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Daniela J Baldi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIELA J BALDI MD (NPI 1245235399) is an individual internal medicine provider in Lakewood, New Jersey, licensed in New Jersey (25MA06813300) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1245235399
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDANIELA J BALDICredential: MD
Location Address1771 MADISON AVELakewood, NJ 08701
Mailing Address1771 Madison AveLakewood, NJ 08701 · (732) 364-2144 · Fax (732) 364-3559
Phone(732) 364-2144
Fax(732) 364-3559
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJune 16, 2005
Last NPPES UpdateMay 23, 2013
✔ NPI 1245235399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA06813300
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1771 MADISON AVE, Lakewood, NJ 08701
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Other Identifiers 3

Medicare UPINH04977NJ
Medicare PIN143832NJ
Medicaid8375607NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniela J Baldi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214092659
PECOS Enrollment IDI20090218000263
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
263 services149 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
207 services142 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
144 services144 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
26 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers16 claims47 services$6.24 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers20 claims20 services$196.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKEWOOD BOARD OF EDUCATION
Local Education Agency (LEA)
1771 MADISON AVE, SUITE B
LAKEWOOD, NJ 08701
Ocean County (732) 364-2400
CHERYL S. OCHS FNP
Nurse Practitioner (Family)
1771 MADISON AVE
LAKEWOOD, NJ 08701
Ocean County (732) 364-2144
STEVEN ZELEFSKY
Dentist (General Practice)
1771 MADISON AVE
LAKEWOOD, NJ 08701
Ocean County (212) 305-6100
SHAINDEL PARNES APN
Nurse Practitioner (Psychiatric/Mental Health)
1771 MADISON AVE
LAKEWOOD, NJ 08701
Ocean County (732) 364-2144
JOSHUA SINGER LSW
Social Worker
1771 MADISON AVE
LAKEWOOD, NJ 08701
Ocean County (732) 364-2144
DR. JILL I SHARON D.O.
Pediatrics
1771 MADISON AVE, CENTER FOR HEALTH EDUCATION, MEDICINE AND DENTISTRY
LAKEWOOD, NJ 08701
Ocean County (732) 364-2144
ARLINDA DRAGA MS
Dentist (General Practice)
1771 MADISON AVE
LAKEWOOD, NJ 08701
Ocean County (732) 364-6666
DR. JANET MARILYN BYRNE M.D.
Internal Medicine
1771 MADISON AVE
LAKEWOOD, NJ 08701
Ocean County (732) 364-2144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniela Baldi's NPI number?

The NPI number for Daniela Baldi is 1245235399. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Daniela Baldi located?

Daniela Baldi practices at 1771 Madison Ave, Lakewood, NJ 08701. The listed phone number is (732) 364-2144.

What is Daniela Baldi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Daniela Baldi enrolled in Medicare?

Yes. Daniela Baldi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Daniela Baldi accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Daniela Baldi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Daniela Baldi affiliated with any hospitals?

According to CMS data, Daniela Baldi is affiliated with Riverview Medical Center, Monmouth Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Daniela Baldi was last updated on May 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.