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JEROME BALDWIN
NPI 1528784675
Counselor - Mental Health in Far Rockaway, NY

Active since October 19, 2022PECOS Enrolled
1048 BEACH 20TH ST, FAR ROCKAWAY, NY 11691(718) 765-6342(929) 374-1132 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 26, 2026, Mar 28, 2023, Oct 19, 2022 (3 updates tracked since 2022).

About Jerome Baldwin NPPES

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

JEROME BALDWIN (NPI 1528784675) is an individual mental health provider in Far Rockaway, New York and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1528784675
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEROME BALDWIN
Location Address1048 BEACH 20TH STFar Rockaway, NY 11691-3900
Mailing AddressPo Box 746087Atlanta, GA 30374-6087 · (312) 733-9730
Phone(718) 765-6342
Fax(929) 374-1132
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 19, 2022
Last NPPES UpdateMay 26, 20263 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1528784675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1048 BEACH 20TH ST, Far Rockaway, NY 11691
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Secondary Practice Locations 3

Location 112012 195th StSaint Albans, NY 11412-3718 · Phone (917) 780-8597
Location 2110 Jericho Tpke Ste 212Floral Park, NY 11001-2019 · Phone (516) 263-2375
Location 3455 Sutter AveBrooklyn, NY 11212-8111 · Phone (718) 765-6550 · Fax (347) 620-9739

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerome Baldwin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698246387
PECOS Enrollment IDI20260603002785
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.

Other Providers at the Same Location NPPES 4

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

DR. LAXMI KUMARI MD
Family Medicine
1048 BEACH 20TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 765-6342
VALERIYA YEVSHAYEVA MD
Family Medicine
1048 BEACH 20TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 765-6342
MRS. POLLYANNA WILSON FNP
Nurse Practitioner (Family)
1048 BEACH 20TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 765-6342
DR. MOSES JOSEPH SYLDORT MD
Family Medicine
1048 BEACH 20TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 765-6342

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 Jerome Baldwin's NPI number?

The NPI number for Jerome Baldwin is 1528784675. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Where is Jerome Baldwin located?

Jerome Baldwin practices at 1048 Beach 20th St, Far Rockaway, NY 11691. The listed phone number is (718) 765-6342.

What is Jerome Baldwin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jerome Baldwin enrolled in Medicare?

Yes. Jerome Baldwin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerome Baldwin was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.