Maricon Bas, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

309238 Issued in NY

Practice address

480 Forest Ave
Locust Valley, NY 11560-2151

Phone

(516) 759-5406

NPI assigned

Sep 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1083040075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 7TH AVE N",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462208",
            "telephone_number": "631-948-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 FOREST AVE",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115602151",
            "telephone_number": "516-759-5406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Sunrise Hwy Ste 124",
            "address_purpose": "LOCATION",
            "city": "Great River",
            "state": "NY",
            "postal_code": "117391001",
            "country_code": "US",
            "telephone_number": "631-854-0369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAS",
        "first_name": "MARICON",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "643137",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Jacqueline Arismendy, PT
• Jennifer Baltusis, LMHC
• Heather Ann Barber, OSC
• Patricia Ann Barker
• Joyce M Bartolomeo, ANP
• Carly Bayer, PA
• Colleen Mary Bennett, P.T.
• Daniella Bivona, MASSAGE THERAPIST
• Breathe Physical Therapy PLLC
• Barbara J Brown, ED.D

• Adult Health Nurse Practitioner in Locust Valley, NY
• Providers in Locust Valley, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.