Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jack Lawrence Baldassare, MD

Diagnostic Radiology Physician in Tenafly, NJ · enumerated 2006 · practices at Englewood Imaging Center, PA.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225070121

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Registry record

Entity type Individual (Type 1)

Name Dr. Jack Lawrence Baldassare

Credential MD

Sex Male

Practice address 220 Oxford Dr, Tenafly, NJ, 07670

Phone (201) 567-6156

Fax (201) 871-8708

Enumeration date Jun 12, 2006

Last updated in NPPES Dec 15, 2009

Taxonomy & licenses

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 25MA3606000 (NJ) Primary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 124001-1 (NY) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
00481521	Medicaid	NY	-
BA113644	Other	NJ	MEDICARE ID-TYPE
0864307	Medicaid	NJ	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1225070121 active?

Yes, as of the latest NPPES snapshot, NPI 1225070121 is active (record last updated 2009-12-15).

How do I verify Jack Baldassare's NPI record?

Cross-check NPI 1225070121 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

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Englewood Imaging Center, PA Diagnostic Radiology Physician · Tenafly, NJ NPI 1285676726

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-12-15.