Individual provider Active NPI

Jennifer Barbara Basich, RN

  • Registered Nurse
  • Staten Island, NY
National Provider Identifier
1194555870
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
944369 Issued in NY
Practice address
1477 Hylan Blvd
Staten Island, NY 10305-1906
Phone
(718) 979-6900
Fax
(718) 979-6940
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 944369 NY Primary

Addresses

Primary practice location

1477 Hylan Blvd
Staten Island, NY 10305-1906

Mailing address

280 Barclay Ave
Staten Island, NY 10312-4802
Phone (917) 831-6870

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
944369NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Homemakers of Staten Island, Inc. CurrentSince Aug 11, 2024 Accepting new patients

Locations

1477 Hylan Blvd
Staten Island, NY 10305
Phone (718) 979-9600

Organizations & group practices 1

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": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1194555870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BARCLAY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124802",
            "telephone_number": "917-831-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051906",
            "telephone_number": "718-979-6900",
            "fax_number": "718-979-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASICH",
        "first_name": "JENNIFER",
        "middle_name": "BARBARA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "944369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.