Basil G Dibsie, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17777 Issued in NJ

Practice address

873 Cherokee LN
Franklin Lakes, NJ 07417-2804

Phone

(201) 891-7292

NPI assigned

May 14, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1346417698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 CHEROKEE LN",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172804",
            "telephone_number": "201-891-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 CHEROKEE LN",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172804",
            "telephone_number": "201-891-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBSIE",
        "first_name": "BASIL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "17777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfonse A De Maria, DC
• Courtney L Deangelis, PSY.D.
• David Degenhardt, MES
• Joseph F Delprete, D.M.D.
• Kate Mariel Diana, DMD
• Jillian Taylor Digiacinto, OTR/L
• Patricia Ann Donohue, NP
• Melissa Dropkin, LCSW
• Melanie Dubbs
• Geoffrey A Dugue, M.D.

• Family Medicine Physician in Franklin Lakes, NJ
• Providers in Franklin Lakes, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.