NPIMap

Organization Active NPI

Tonuca Basu Physician P.C.

  • Multi-Specialty Clinic/Center
  • Ridgewood, NY
National Provider Identifier
1104266584
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TONUCA BASU PHYSICIAN P.C.
Practice address
6044 Myrtle Ave
Ridgewood, NY 11385-5907
Phone
(718) 386-7000
Fax
(718) 456-7585
NPI assigned
Jun 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Tonua Basu, M.D.
Title
President
Phone
(718) 386-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

6044 Myrtle Ave
Ridgewood, NY 11385-5907

Mailing address

6044 Myrtle Ave
Ridgewood, NY 11385-5907
Phone (718) 386-7000

National Provider Directory

National Provider Directory
Tax ID family
Tonuca Basu Physician PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1104266584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6044 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855907",
            "telephone_number": "718-386-7000",
            "fax_number": "718-456-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6044 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855907",
            "telephone_number": "718-386-7000",
            "fax_number": "718-456-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONUCA BASU PHYSICIAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "BASU",
        "authorized_official_first_name": "TONUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-386-7000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.