Active NPI
Basil Dalavagas, M. D.
- Orthopaedic Surgery Physician
- New York, NY
National Provider Identifier
1184677767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 117409
- Practice address
- 95 University PL
8TH Floor
New York, NY 10003-4515 - Phone
- (212) 604-1361
- Fax
- (212) 604-1379
- NPI assigned
- May 18, 2006
- Last updated
- Sep 27, 2026
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 117409 | NY | Primary |
Addresses
Primary practice location
95 University PL
8TH Floor
New York, NY 10003-4515
Mailing address
95 University PL
8TH Floor
New York, NY 10003-4515
Phone (212) 604-1361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00507039 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790467200000",
"number": "1184677767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 UNIVERSITY PL",
"address_2": "8TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034515",
"telephone_number": "212-604-1361",
"fax_number": "212-604-1379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 UNIVERSITY PL",
"address_2": "8TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034515",
"telephone_number": "212-604-1361",
"fax_number": "212-604-1379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALAVAGAS",
"first_name": "BASIL",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2026-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "117409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00507039",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.