Active NPI
Basil Wilchcombe
- Family Nurse Practitioner
- New Rochelle, NY
National Provider Identifier
1144993122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 347503
- Practice address
- 130 Centre Ave Apt 1D
New Rochelle, NY 10805-2815 - Phone
- (516) 359-1402
- NPI assigned
- Jul 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 347503 | NY | Primary |
Addresses
Primary practice location
130 Centre Ave Apt 1D
New Rochelle, NY 10805-2815
Mailing address
130 Centre Ave Apt 1D
New Rochelle, NY 10805-2815
Phone (516) 359-1402
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 347503 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1144993122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 CENTRE AVE APT 1D",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108052815",
"telephone_number": "516-359-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CENTRE AVE APT 1D",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108052815",
"telephone_number": "516-359-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCHCOMBE",
"first_name": "BASIL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-27",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "347503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.