Active NPI
Abubakar Bashiru
- Athletic Trainer
- Bronx, NY
National Provider Identifier
1386206308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2013
- Practice address
- 2130 Crotona Ave Apt 6B
Bronx, NY 10457-2771 - Phone
- (718) 295-6731
- NPI assigned
- Jun 29, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2013 | NC | Primary |
Addresses
Primary practice location
2130 Crotona Ave Apt 6B
Bronx, NY 10457-2771
Mailing address
2130 Crotona Ave Apt 6B
Bronx, NY 10457-2771
Phone (347) 993-6883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013 | NC | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561766400000",
"number": "1386206308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 CROTONA AVE APT 6B",
"city": "BRONX",
"state": "NY",
"postal_code": "104572771",
"telephone_number": "347-993-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 CROTONA AVE APT 6B",
"city": "BRONX",
"state": "NY",
"postal_code": "104572771",
"telephone_number": "718-295-6731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASHIRU",
"first_name": "ABUBAKAR",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-29",
"last_updated": "2019-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "2013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.