Active NPI
Jharna Basak, M.D.
- Adult Medicine Physician
- Buffalo, NY
National Provider Identifier
1013952431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 145614
- Practice address
- 187 Cazenovia St
Buffalo, NY 14210-2450 - Phone
- (716) 823-3462
- Fax
- (716) 823-9397
- NPI assigned
- Jun 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 145614 | NY | Primary |
Addresses
Primary practice location
187 Cazenovia St
Buffalo, NY 14210-2450
Mailing address
187 Cazenovia St
Buffalo, NY 14210-2450
Phone (716) 823-3462
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6490002 | Other | NY | INDEPENDENT HEALTH ASSOC. |
| 00010200501 | Other | NY | UNIVERA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145614 | NY | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013952431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 CAZENOVIA ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142102450",
"telephone_number": "716-823-3462",
"fax_number": "716-823-9397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 CAZENOVIA ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142102450",
"telephone_number": "716-823-3462",
"fax_number": "716-823-9397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASAK",
"first_name": "JHARNA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NY",
"license": "145614",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH ASSOC.",
"identifier": "6490002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010200501",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.