Basis Medical PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

BASIS MEDICAL PC

Practice address

235 W 135TH St
New York, NY 10030-2861

Phone

(646) 270-1050

NPI assigned

Jul 23, 2024

Organization subpart

No

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

Authorized official

Name

Madhu Boppana

Title

Owner

Phone

(646) 270-1050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1154159986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W 135TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100302861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W 135TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100302861",
            "telephone_number": "646-270-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "BOPPANA",
        "authorized_official_first_name": "MADHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-270-1050"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Parkman Basilice, D.D.S, D.D.S
• Jazz Basilio
• Robert Banks Basinger, PA
• Dana Danielle Basio
• Mariam Basir, D.O.
• Basit Qayyum D O P C
• Natalie Basiuk
• Rohitha Baskar, MD
• Nithyashri Baskaran
• Barbara Baskin, M.D

• Neurology Physician in New York, NY
• Providers in New York, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.