Active NPI
Basil A Horst, M.D.
- Anatomic Pathology Physician
- New York, NY
National Provider Identifier
1043547144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 003464
- Practice address
- 630 W 168TH St
VC15-207
New York, NY 10032-3725 - Phone
- (212) 305-2155
- Fax
- (212) 927-9704
- NPI assigned
- Nov 10, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 003464 | NY | |
| Anatomic Pathology Physician | 207ZP0101X | 003464 | NY | Primary |
Addresses
Primary practice location
630 W 168TH St
VC15-207
New York, NY 10032-3725
Mailing address
PO Box 29211
New York, NY 10087-9211
Phone (212) 305-2155
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003464 | NY | MD | Anatomic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452211200000",
"number": "1043547144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29211",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100879211",
"telephone_number": "212-305-2155",
"fax_number": "212-927-9704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 W 168TH ST",
"address_2": "VC15-207",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323725",
"telephone_number": "212-305-2155",
"fax_number": "212-927-9704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORST",
"first_name": "BASIL",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-10",
"last_updated": "2016-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "NY",
"license": "003464",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NY",
"license": "003464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.