Individual provider Active NPI

Arnold Baskies, M.D.

  • Surgery Physician
  • Willingboro, NJ
National Provider Identifier
1326049693
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA04093100 Issued in NJ
Practice address
1000 Salem Rd
Suite a
Willingboro, NJ 08046-2852
Phone
(609) 877-1737
Fax
(609) 877-1589
NPI assigned
Aug 9, 2005
Last updated
Mar 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA04093100 NJ Primary

Addresses

Primary practice location

1000 Salem Rd
Suite a
Willingboro, NJ 08046-2852

Mailing address

401 Route 73 N
40 Lake Center Dr Suite 201a
Marlton, NJ 08053-3425
Phone (856) 355-0340

Other identifiers 1

IdentifierTypeStateIssuer
0159107MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040513001377 NJ Practitioner - General Surgery 7214927094 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Surgery CurrentSince Sep 1, 2011 Accepting new patients
Virtua Medical Group, PA CurrentSince Sep 1, 2011 Accepting new patients
Louis S Ruvolo M D LLC Surgery Past Accepting new patients
Surgical Specialists of New Jersey, LLC Surgery Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

7000 Atrium Way
Ste 6
Mount Laurel, NJ 08054
Phone (856) 206-4500

130 Carnie Blvd
Ste 3
Voorhees, NJ 08043
Phone (856) 596-7440

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, 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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1326049693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N",
            "address_2": "40 LAKE CENTER DR SUITE 201A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533425",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SALEM RD",
            "address_2": "SUITE A",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462852",
            "telephone_number": "609-877-1737",
            "fax_number": "609-877-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKIES",
        "first_name": "ARNOLD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA04093100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

Verify at the official NPI Registry.