Active NPI
Reynald Bastien Jr., LPN
- Licensed Practical Nurse
- Blue Point, NY
National Provider Identifier
1154730265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 318787
- Practice address
- 263 Blue Point Ave
Blue Point, NY 11715-1224 - Phone
- (516) 493-9063
- NPI assigned
- Aug 4, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 318787 | NY | Primary |
Addresses
Primary practice location
263 Blue Point Ave
Blue Point, NY 11715-1224
Mailing address
105 Margaretta Ave
Massapequa, NY 11758-5533
Phone (516) 497-9930
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 318787 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463529600000",
"number": "1154730265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MARGARETTA AVE",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585533",
"telephone_number": "516-497-9930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 BLUE POINT AVE",
"city": "BLUE POINT",
"state": "NY",
"postal_code": "117151224",
"telephone_number": "516-493-9063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASTIEN",
"first_name": "REYNALD",
"name_suffix": "Jr.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-04",
"last_updated": "2016-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "318787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.