Jack Lawrence Baldassare, MD
NPI 1225070121ActiveIndividual· Radiology, Diagnostic Radiology· Tenafly, NJ
Radiology, Diagnostic Radiology (MD) in Tenafly, New Jersey, trained at State University of Ny Upstate Medical University (class of 1974). Medicare paid $439,910 for services to 1,804 patients in 2024.
Overview
| NPI | 1225070121 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 12, 2006 |
| Last updated in NPPES | Dec 15, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 25MA3606000 | NJ |
| Radiology, Diagnostic Radiology | 2085R0202X | 124001-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Interventional Radiology (NJ); Practitioner - Diagnostic Radiology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,804 |
|---|---|
| Services billed | 3,195 across 27 procedure codes |
| Paid by Medicare | $439,910 |
Education and affiliations
| Medical school | State University of Ny Upstate Medical University |
|---|---|
| Graduation year | 1974 |
| Medicare specialty | Interventional Radiology |
| Secondary specialties | Cardiovascular Disease (Cardiology) |
Medical groups
- Hudson MD GroupFort Lee, NJ · 112 clinicians
- Union Square Medical Imaging and Mammography PCNew York, NY · 4 clinicians
- Imaging Specialists, LLCWest Orange, NJ · 2 clinicians
- Rapid Access Medical Diagnostics Nj LLCWest Orange, NJ · 2 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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