Active NPI
Basilica Management Corp
- Case Management Agency
- New York, NY
National Provider Identifier
1407710825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.