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

Dr. Nicholas Baialardo

Individual provider Family Nurse Practitioner · NPI 1801607866

Dr. Nicholas Baialardo is a Nurse Practitioner in Port Jefferson Station, New York. Qualified in 2024, 2 years ago. Practices with My Medical PC, a 89-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025

Practice location Address checks out

1500 Route 112 Bldg 1
Port Jefferson Station, NY 11776-8055
Phone: (631) 751-3000
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 355798 (NY)

Record details

NPI number1801607866
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 17, 2025
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice My Medical Pc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Port Jefferson Station