Elliot L Bass DPM, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ELLIOT L BASS DPM, PC

Practice address

2381 E 29TH St
Brooklyn, NY 11229-5027

Phone

(718) 743-1400

Fax

(718) 743-7003

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elliot L Bass, DPM

Title

Pres.

Phone

(718) 743-1400

Specialties & licenses 2

Addresses

Other identifiers 8

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oleg Latvinsky, DPM

  • Podiatrist
  • Brooklyn, NY
  • NPI 1073529731
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1184811192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 LARCH HILL RD",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591926",
            "telephone_number": "718-743-1400",
            "fax_number": "718-743-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381 E 29TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295027",
            "telephone_number": "718-743-1400",
            "fax_number": "718-743-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT L BASS DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "718-743-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528061082",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P469339",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548241979",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00403503",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0017805",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01578803",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2030683",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6201069",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellery Street Pharmacy Inc
• Breanna Elleston
• Donnette Ellington
• Jenna Ellington, LMSW
• Judy Ellinson
• Elliot M. Lorber DMD PC
• Stesha Elliot, LPN
• Michele Alicia Elliott Bartholomew
• Evelet Nichole Elliott-Hunte
• Christine Marie Elliott-Negri

• Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.