Individual provider Active NPI

John Jude Basti, PT

  • Physical Therapist
  • Edison, NJ
National Provider Identifier
1205863438
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA02804 Issued in NJ
Practice address
3 Progress St
Suite 107
Edison, NJ 08820-1180
Phone
(908) 222-9696
Fax
(908) 222-9698
NPI assigned
Jun 26, 2006
Last updated
May 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X QA02804 NJ Primary

Addresses

Primary practice location

3 Progress St
Suite 107
Edison, NJ 08820-1180

Mailing address

3 Progress St
Suite 107
Edison, NJ 08820-1180
Phone (908) 222-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220406000836 NY Practitioner - Physical Therapist in Private Practice 8820042955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York Downstate Medical Center, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erik Peterson Physical Therapy PCGroup PAC ID 0749457125, 3 clinicians

Practice addresses (Care Compare)

100 Montauk Hwy
Amagansett, NY 11930-2835
Phone (631) 324-3200

Merit-based Incentive Payment System (MIPS)

Final score
87.69 of 100Reported as group
Quality
86.29
Improvement activities
40
Cost
77.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA02804NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Erik Peterson Physical Therapy PC Physical Therapist CurrentSince Dec 3, 2021 Accepting new patients
Peterson Medical Supply Company Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1205863438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PROGRESS ST",
            "address_2": "SUITE 107",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201180",
            "telephone_number": "908-222-9696",
            "fax_number": "908-222-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PROGRESS ST",
            "address_2": "SUITE 107",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201180",
            "telephone_number": "908-222-9696",
            "fax_number": "908-222-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTI",
        "first_name": "JOHN",
        "middle_name": "JUDE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA02804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.