Individual provider Active NPI

Paul M Basuk, M.D.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1033194675
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
147014 Issued in NY
Practice address
310 E 72ND St
New York, NY 10021-4726
Phone
(212) 861-9715
Fax
(212) 861-9703
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 147014 NY Primary

Addresses

Primary practice location

310 E 72ND St
New York, NY 10021-4726

Mailing address

310 E 72ND St
New York, NY 10021-4726
Phone (212) 861-9715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070823000156 NY Practitioner - Gastroenterology 4789782236 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Northwestern University Feinberg Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

150 E 69TH St
Apt 8J
New York, NY 10021-5722
Phone (212) 861-9715

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy108
Upper gastrointestinal (GI) endoscopy for acid reflux35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
147014NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Gastroenterology PastSince Jan 1, 1992 Accepting new patients
Weill Medical College of Cornell Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: paul.basuk.1@31981.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033194675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214726",
            "telephone_number": "212-861-9715",
            "fax_number": "212-861-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214726",
            "telephone_number": "212-861-9715",
            "fax_number": "212-861-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASUK",
        "first_name": "PAUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "147014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.