Active NPI
Mark E Basiratmand, N.P.
- Family Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 345760
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Statcare Urgent & Walk in Medical Care PLLC | Current | Accepting new patients | |
| Hicksville Family Medical Care, PLLC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Josef Schenker MD PC | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Gundersen Lutheran Express Care, Inc | Past | Accepting new patients | |
| Sop Medical PC | Past | 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
- mbasiratmand1145596@oc.providencedirect.org
- 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.
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Health Service Clinic/Center
- Corona, NY
- NPI 1417361122
-
- Primary Care Clinic/Center
- Corona, NY
- NPI 1083805741
-
- Clinic/Center
- La Crosse, WI
- NPI 1851343115
-
- Clinic/Center
- La Crosse, WI
- NPI 1043446974
-
- Community Based Hospice Care Agency
- La Crosse, WI
- NPI 1013943893
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.