DR. NICHOLAS BAIALARDO
NPI 1801607866
Nurse Practitioner - Family in Port Jefferson Station, NY

Active since January 17, 2025PECOS EnrolledAccepts Medicare Assignment
1500 ROUTE 112 BLDG 1, PORT JEFFERSON STATION, NY 11776(631) 751-3000 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Nicholas Baialardo NPPES

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

DR. NICHOLAS BAIALARDO (NPI 1801607866) is an individual family provider in Port Jefferson Station, New York, licensed in New York (355798) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1801607866
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. NICHOLAS BAIALARDO
Location Address1500 ROUTE 112 BLDG 1Port Jefferson Station, NY 11776-8055
Mailing Address1500 Route 112 Bldg 1Port Jefferson Station, NY 11776-8055
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
NPI 1801607866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 355798
1500 ROUTE 112 BLDG 1, Port Jefferson Station, NY 11776

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Dr. Nicholas Baialardo 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 ID6709305006
PECOS Enrollment IDI20250529001276
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES

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

Radiology (Diagnostic Radiology)
1500 ROUTE 112 BLDG 1
PORT JEFFERSON STATION, NY 11776

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801607866, enumerated as an "individual" on January 17, 2025.

The provider is located at 1500 ROUTE 112 BLDG 1 PORT JEFFERSON STATION, NY 11776 and the phone number is (631) 751-3000.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.