Active NPI
Julie Alexandra Bass
- Physician Assistant
- Hamden, CT
National Provider Identifier
1164041943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 026363
- Practice address
- 7232 Town Walk Dr
Hamden, CT 06518-3742 - Phone
- (832) 287-2539
- NPI assigned
- Apr 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
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.
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1639236656
NY
-
- Urgent Care Clinic/Center
- Norwalk, CT
- NPI 1851132831
-
- Urgent Care Clinic/Center
- Bayside, NY
- NPI 1790412443
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- City Medical of Upper East Side PLLC
Practice addresses (Care Compare)
154 N 7TH St
Brooklyn, NY 11249-2910
Phone (718) 414-2013
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210408001767 | NY | Practitioner - Physician Assistant | 3375951460 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026363 | NY | MD | Occupational Therapist |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 026363 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
NPPES NPI RegistryPrimary practice location
7232 Town Walk Dr
Hamden, CT 06518-3742
Mailing address
7232 Town Walk Dr
Hamden, CT 06518-3742
Phone (832) 287-2539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2021.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1164041943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7232 TOWN WALK DR",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183742",
"telephone_number": "832-287-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7232 TOWN WALK DR",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183742",
"telephone_number": "832-287-2539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "JULIE",
"middle_name": "ALEXANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-13",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "026363",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.