Individual provider Active NPI

Mark E Basiratmand, N.P.

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1154836153
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345760 Issued in NY
Practice address
74 Wallabout St
Brooklyn, NY 11249-7830
Phone
(718) 260-4600
NPI assigned
Dec 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 345760 NY Primary

Addresses

Primary practice location

74 Wallabout St
Brooklyn, NY 11249-7830

Mailing address

74 Wallabout St
Brooklyn, NY 11249-7830
Phone (718) 260-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220614002203 NY Practitioner - Nurse Practitioner 6204167729 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Josef Schenker MD PCGroup PAC ID 8022335330, 57 clinicians

Practice addresses (Care Compare)

1811 Ave J
Brooklyn, NY 11230-3808
Phone (718) 534-0689

4426 18TH Ave
Brooklyn, NY 11204-1201
Phone (718) 635-9700

6122 Fresh Pond Rd
Middle Village, NY 11379-1040
Phone (718) 502-3000

6402 108TH St
Forest Hills, NY 11375-1604
Phone (212) 734-6621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles (10 of 14)

OrganizationSpecialtyStatusNew patients
Statcare Urgent & Walk in Medical Care PLLC CurrentSince Mar 23, 2024 Accepting new patients
Hicksville Family Medical Care, PLLC CurrentSince May 4, 2024 Accepting new patients
North Shore-Lij Medical PC CurrentSince Feb 12, 2022 Accepting new patients
Josef Schenker MD PC CurrentSince May 22, 2025 Accepting new patients
North Shore - Lij Medical PC CurrentSince Feb 12, 2022 Accepting new patients
Gundersen Lutheran Express Care, Inc Past Accepting new patients
Sop Medical PC PastSince Jun 25, 2016 Accepting new patients
Gundersen Clinic LTD Past Accepting new patients
Gundersen Lutheran Medical Center, Inc. Past Accepting new patients
Maria C. Coe, MSRD,CDN,PC Past Accepting new patients

Locations

4426 18th Ave
Brooklyn, NY 11204
Phone (718) 635-9700

225 Community Dr
Ste 130
Great Neck, NY 11021
Phone (516) 466-8900

232 W Old Country Rd
Hicksville, NY 11801
Phone (347) 808-8830

6122 Fresh Pond Rd
Middle Vlg, NY 11379
Phone (718) 502-3000

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mbasiratmand1145596@oc.providencedirect.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGBJAA/Endpoint/BGBJAA

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1154836153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 WALLABOUT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112497830",
            "telephone_number": "718-260-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 WALLABOUT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112497830",
            "telephone_number": "718-260-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASIRATMAND",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-12",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.