DR. NICHOLAS BAIALARDO
NPI 1801607866
Nurse Practitioner - Family in Port Jefferson Station, NY
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Nicholas Baialardo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fresh Meadows, NY 11365
- Reassigned Medicare billing, New York enrollment
- 193 clinicians in this Medicare group
Valley Cottage, NY 10989
- Reassigned Medicare billing, New York enrollment
- 137 clinicians in this Medicare group
Brooklyn, NY 11216
- Reassigned Medicare billing, New York enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT JEFFERSON STATION, NY 11776
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 Nicholas Baialardo's NPI number?
The NPI number for Nicholas Baialardo is 1801607866. It was assigned to this individual provider in the NPPES registry on January 17, 2025.
Where is Nicholas Baialardo located?
Nicholas Baialardo practices at 1500 Route 112 Bldg 1, Port Jefferson Station, NY 11776. The listed phone number is (631) 751-3000.
What is Nicholas Baialardo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicholas Baialardo enrolled in Medicare?
Yes. Nicholas Baialardo 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.
Which organizations bill Medicare for Nicholas Baialardo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Baialardo reassigns Medicare benefits to 3 organizations: Peyman Younesi MD PLLC (Fresh Meadows, NY), My Medical PC (Valley Cottage, NY) and Kel Healthcare Medical Services PC (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Baialardo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicholas Baialardo was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Dr. Nicholas Baialardo · NPI 1801607866
Family physician in Port Jefferson Station, New York. Individual provider, active in the CMS NPPES registry since January 17, 2025.
## Identity
- **NPI:** 1801607866 (Entity type: Individual)
- **Enumerated:** January 17, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 355798 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1500 ROUTE 112 BLDG 1, Port Jefferson Station, NY 11776-8055
- **Phone:** (631) 751-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Peyman Younesi MD PLLC (NPI 1891053328, Fresh Meadows, NY); My Medical PC (NPI 1518637891, Valley Cottage, NY); Kel Healthcare Medical Services PC (NPI 1629892476, Brooklyn, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1801607866) · Data from the CMS NPPES public registry.