Ghassan G. Bassil, MD

Key facts

NPI

1154483436

Entity type

Individual (NPI type 1)

Primary specialty

Anatomic Pathology & Clinical Pathology Physician 207ZP0102X

License

25MA04361600 (NJ)

Practice address

350 Boulevard
Passaic, NJ 07055-2840

Phone

(973) 365-4470

Fax

(973) 473-3367

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 4

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.

• Pathlink of New Jersey Anatomic Pathology & Clinical Pathology Physician · Denville, NJ · NPI 1538821327
  Medicare reassignment Care Compare group NPD ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY · NJ
• Princeton Pathology Services PA Anatomic Pathology & Clinical Pathology Physician · Newark, NJ · NPI 1942498985
  Medicare reassignment NPD ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY · NJ
• North Jersey Pathologists Corp. Anatomic Pathology & Clinical Pathology Physician · Montclair, NJ · NPI 1588961205
  NPD ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY
• Barden Thorwarth Daughtridge LTD Diagnostic Radiology Physician · Philadelphia, PA · NPI 1972597565
  NPD (past)

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services - Saint Clare'S LLC General Acute Care Hospital · Denville, NJ · NPI 1598144362
  Care Compare affiliation Hospital
• Prime Healthcare Services - St. Mary'S Passaic LLC General Acute Care Hospital · Passaic, NJ · NPI 1770901761
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Pathology

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathlink of New Jersey (15 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary'S General Hospital Hospital · Passaic, NJ · CCN 310006
• Saint Clare'S Hospital/ Denville Campus Hospital · Denville, NJ · CCN 310050

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 3, 2008.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1154483436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HERRMAN WAY",
            "city": "TOWACO",
            "state": "NJ",
            "postal_code": "070821500",
            "telephone_number": "973-365-4470",
            "fax_number": "973-473-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552840",
            "telephone_number": "973-365-4470",
            "fax_number": "973-473-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSIL",
        "first_name": "GHASSAN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA04361600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS OF NY CLIFTON",
            "identifier": "015RD1",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2862682000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3K5166",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "0145725",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00404009",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS OF NY WAYNE",
            "identifier": "015RD3",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS OF NY W PATERSON",
            "identifier": "015RD2",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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