Organization Active NPI

Basilica Management Corp

  • Case Management Agency
  • New York, NY
National Provider Identifier
1407710825
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BASILICA MANAGEMENT CORP
Practice address
5030 Broadway Ste 664
New York, NY 10034-1612
Phone
(732) 789-0801
Fax
(718) 406-9994
NPI assigned
Dec 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Shariff De Los Santos
Title
Ceo
Phone
(732) 789-0801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

5030 Broadway Ste 664
New York, NY 10034-1612

Mailing address

5030 Broadway Ste 664
New York, NY 10034-1612
Phone (732) 789-0801

National Provider Directory

National Provider Directory

Locations

5030 Broadway
Ste 664
New York, NY 10034

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1407710825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY STE 664",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341612",
            "telephone_number": "732-789-0801",
            "fax_number": "718-406-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY STE 664",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341612",
            "telephone_number": "732-789-0801",
            "fax_number": "718-406-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASILICA MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "DE LOS SANTOS",
        "authorized_official_first_name": "SHARIFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-789-0801"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.