Raymond John Bastkowski, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1007519 Issued in NJ

Practice address

4 Thrush Dr
East Brunswick, NJ 08816-2726

Phone

(732) 257-3510

Fax

(732) 257-3510

NPI assigned

Jun 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366645483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 THRUSH DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162726",
            "telephone_number": "732-257-3510",
            "fax_number": "732-257-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 THRUSH DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162726",
            "telephone_number": "732-257-3510",
            "fax_number": "732-257-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTKOWSKI",
        "first_name": "RAYMOND",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "D1007519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remon Bartash, RPH
• Sandip Basak, MD
• Misha Basalaev, MD
• Ann Basil, LCSW
• Sonia Bassily, OD
• Jenna Basto
• Alejandrina Batista, LCSW
• Bay Anesthesia LLC
• Bayada Home Health Care, Inc.
• Makenzie Lee Bayless, LAC

• General Practice Dentistry in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.