Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack Lawrence Baldassare, MD

Individual provider Diagnostic Radiology Physician · NPI 1225070121

Dr. Jack Lawrence Baldassare, MD is an Interventional Radiology in Tenafly, New Jersey. Graduated from State University of Ny Upstate Medical University in 1974, 52 years ago. Practices with Rapid Access Medical Diagnostics Nj LLC, a 2-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
52
Trained at
State University of Ny Upstate Medical University
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

220 Oxford Dr
Tenafly, NJ 07670-3118
Phone: (201) 567-6156
Fax: (201) 871-8708
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 25MA3606000 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 124001-1 (NY)

Record details

NPI number1225070121
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESDecember 15, 2009
Mailing address220 Oxford Dr, Tenafly, NJ 07670-3118

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 1974 (52 years in practice)
Group practice Rapid Access Medical Diagnostics Nj Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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