Individual provider Active NPI

Peggy Bastien, MD

  • Obstetrics & Gynecology Physician
  • Ogdensburg, NY
National Provider Identifier
1275809469
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
271756 Issued in NY
Practice address
3 Lyon Place
Ogdensburg, NY 13669
Phone
(315) 393-6186
Fax
(315) 394-0015
NPI assigned
Apr 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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 271756 NY Primary

Addresses

Primary practice location

3 Lyon Place
Ogdensburg, NY 13669

Mailing address

3 Lyon Place
Ogdensburg, NY 13669
Phone (315) 393-6186

Other practice location 1

320 Depot Ln Unit 3
Cutchogue, NY 11935-1274
Phone (631) 655-8920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130301000226 NJ Practitioner - Obstetrics/Gynecology 6608021357 Reassigns benefits to 2 organizations
I20140707000069 NY Practitioner - Obstetrics/Gynecology 6608021357 Reassigns benefits to 5 organizations
I20241205004365 FL Practitioner - Obstetrics/Gynecology 6608021357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

175 High St
Newton, NJ 07860-1004
Phone (973) 383-2121

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Jun 11, 2019 Accepting new patients
MVHS Inc CurrentSince Sep 1, 2018 Accepting new patients
DHP of Princeton, PA Obstetrics & Gynecology CurrentSince Jun 1, 2019 Accepting new patients
East Post Road Medical Services PC Obstetrics & Gynecology CurrentSince Mar 18, 2021 Accepting new patients
North Shore-Lij Medical PC Obstetrics & Gynecology CurrentSince Jun 11, 2019 Accepting new patients
OBGYN Hospitalist Medical Services of New York, P.C. Obstetrics & Gynecology CurrentSince Oct 18, 2023 Accepting new patients
MVHS Inc CurrentSince Sep 1, 2018 Accepting new patients
Jupiter Medical Center Physicians Group Inc Current Accepting new patients
Huntington Hospital Dolan Family Health Center CurrentSince Jun 11, 2019 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Pediatrix Medical Group of Florida Inc Obstetrics & Gynecology CurrentSince Oct 15, 2025 Accepting new patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince Jun 1, 2023 Accepting new patients
Practice Associates Medical Group Obstetrics & Gynecology CurrentSince Jun 7, 2024 Accepting new patients
Ahs Hospital Corp Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

270 Park Ave
Fl 1
Huntington, NY 11743
Phone (631) 351-2219

1572 New York Ave
Huntington Station, NY 11746
Phone (631) 425-5250

300 Community Dr
Plandome, NY 11030

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

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

Interoperability endpoints

  • Direct secure messaging: pbastien14947@mvhealthsystem.direct-ci.com
  • Direct secure messaging: pbastien4670730@nychhc.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1275809469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LYON PLACE",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "13669",
            "telephone_number": "315-393-6186",
            "fax_number": "315-394-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LYON PLACE",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "13669",
            "telephone_number": "315-393-6186",
            "fax_number": "315-394-0015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Depot Ln Unit 3",
            "address_purpose": "LOCATION",
            "city": "Cutchogue",
            "state": "NY",
            "postal_code": "119351274",
            "country_code": "US",
            "telephone_number": "631-655-8920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASTIEN",
        "first_name": "PEGGY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-01",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "271756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogdensburg, NY

Sources for this page

Verify at the official NPI Registry.