Individual provider Active NPI

Yves Luc Basse, M.D.

  • Obstetrics & Gynecology Physician
  • Far Rockaway, NY
National Provider Identifier
1194902569
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
177998 Issued in NY
Practice address
829 Empire Ave
Far Rockaway, NY 11691-4856
Phone
(718) 327-2101
NPI assigned
Jan 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 177998 NY Primary

Addresses

Primary practice location

829 Empire Ave
Far Rockaway, NY 11691-4856

Mailing address

2335 Westlake CT
Oceanside, NY 11572-1415
Phone (516) 678-4428

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100805000713 NY Practitioner - Obstetrics/Gynecology 4082747472 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
Welllife Network Inc. CurrentSince May 9, 2010 Accepting new patients
Welllife Network Inc CurrentSince May 9, 2010 Accepting new patients
Jean Joseph Lochard MD PC CurrentSince Dec 8, 2020 Accepting new patients
Welllife Network Inc., Current Accepting new patients

Locations

10211 Roosevelt Ave
Ste 3
Corona, NY 11368
Phone (718) 898-1378

14202 20th Ave
Fl 3
Flushing, NY 11351
Phone (718) 559-0516

14202 20th Ave
#3
Flushing, NY 11351

20905 Jamaica Ave
Queens Village, NY 11428
Phone (631) 920-8302

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

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.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1194902569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 WESTLAKE CT",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721415",
            "telephone_number": "516-678-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 EMPIRE AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914856",
            "telephone_number": "718-327-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSE",
        "first_name": "YVES",
        "middle_name": "LUC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "177998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.