Organization Active NPI

Tonuca Basu Physicians PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1013206853
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
209562 Issued in NY
Legal business name
TONUCA BASU PHYSICIANS PC
Practice address
3440 Fulton St
Brooklyn, NY 11208-1716
Phone
(718) 757-2069
NPI assigned
Apr 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tonuca Basu, M.D.
Title
Owner
Phone
(718) 757-2069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 209562 NY Primary

Addresses

Primary practice location

3440 Fulton St
Brooklyn, NY 11208-1716

Mailing address

8116 Lefferts Blvd
Kew Gardens, NY 11415-1729
Phone (718) 850-4370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110816000087 NY Part B Supplier - Clinic/Group Practice 7810166436 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Centereach, NY; Elmhurst, NY

National Provider Directory

National Provider Directory
Tax ID family
Tonuca Basu Physician PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3440 Fulton St
Brooklyn, NY 11208
Phone (347) 512-1836

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1013206853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 LEFFERTS BLVD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151729",
            "telephone_number": "718-850-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081716",
            "telephone_number": "718-757-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONUCA BASU PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "BASU",
        "authorized_official_first_name": "TONUCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-757-2069",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.