Individual provider Active NPI

Jennifer Alisha Bassetti, MD

  • Clinical Genetics (M.D.) Physician
  • New York, NY
National Provider Identifier
1104120625
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
259743 Issued in NY
Practice address
505 E 70TH St
3Rd Floor, Box 128
New York, NY 10021-4872
Phone
(646) 962-2205
NPI assigned
Dec 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 259743 NY
Clinical Genetics (M.D.) Physician 207SG0201X 259743 NY Primary

Addresses

Primary practice location

505 E 70TH St
3Rd Floor, Box 128
New York, NY 10021-4872

Mailing address

505 E 70TH St
3Rd Floor, Box 128
New York, NY 10021-4872
Phone (646) 962-2205

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
I20140910000714 NY Practitioner - Medical Genetics and GenomicsPractitioner - Pediatric Medicine 8628297462 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
259743NYMDClinical Genetics (M.D.) Physician

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Pediatrics CurrentSince Jul 1, 2014 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 1, 2014 Accepting new patients
Weill Medical College of Cornell Pediatrics Current Accepting new patients

Locations

525 E 68th St
#M6
New York, NY 10065
Phone (212) 746-3558

505 E 70th St
Fl 3
New York, NY 10021
Phone (646) 962-3410

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jab9161@direct.nyp.org

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Medical Genetics and GenomicsAlso: Pediatric Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of Cornell 2,023 clinicians

Practice addresses (Care Compare)

505 E 70TH St
New York, NY 10021-4872

525 E 68TH St
New York, NY 10065-4870

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

NPI Registry JSON

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1104120625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E 70TH ST",
            "address_2": "3RD FLOOR, BOX 128",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214872",
            "telephone_number": "646-962-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E 70TH ST",
            "address_2": "3RD FLOOR, BOX 128",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214872",
            "telephone_number": "646-962-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSETTI",
        "first_name": "JENNIFER",
        "middle_name": "ALISHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-23",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "259743",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NY",
            "license": "259743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.