Active NPI
Daniel Bascara, M.D.
- Child & Adolescent Psychiatry Physician
- Hoboken, NJ
National Provider Identifier
1154488237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 25MA07164400
- Practice address
- 506 3Rd St
Hoboken, NJ 07030-1970 - Phone
- (201) 792-8200
- NPI assigned
- Jan 2, 2007
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 25MA07164400 | NJ | Primary |
Addresses
Primary practice location
506 3Rd St
Hoboken, NJ 07030-1970
Mailing address
9 Carpenter CT
Jersey City, NJ 07305-5507
Phone (201) 946-9643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070911000126 | NJ | Practitioner - Psychiatry | 5698868404 | Practice locations: Cranford, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
216 N Ave E
Suite 1
Cranford, NJ 07016-2473
Phone (732) 507-2365
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07164400 | NJ | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humc Opco LLC | Current | Accepting new patients | |
| Bennett Silver, M.D. and Gabriel Kaplan, MD, PA | Past | Accepting new patients | |
| Abc Psychiatric Consultant LLC | Past | Accepting new patients | |
| Practice Associates Medical Group | Past | Accepting new patients |
Locations
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
Interoperability endpoints
- dbascara@direct.hobokenumc.md
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.
-
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
-
- Adult Mental Health Clinic/Center
- Warren, NJ
- NPI 1114256641
-
- Psychiatry Physician
- Springfield, NJ
- NPI 1073662524
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154488237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CARPENTER CT",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073055507",
"telephone_number": "201-946-9643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 3RD ST",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070301970",
"telephone_number": "201-792-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASCARA",
"first_name": "DANIEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NJ",
"license": "25MA07164400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.