Diane E Basich, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00968000 Issued in NJ

Practice address

1125 Trenton Harbourton Rd
Titusville, NJ 08560-1504

Phone

(609) 730-2035

Fax

(609) 730-2032

NPI assigned

Oct 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Act on Total Health Medical Group, LLC

  • Family Medicine Physician
  • Northfield, NJ
  • NPI 1952992455
  NPD

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1417598335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 TRENTON HARBOURTON RD",
            "city": "TITUSVILLE",
            "state": "NJ",
            "postal_code": "085601504",
            "telephone_number": "609-730-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 TRENTON HARBOURTON RD",
            "city": "TITUSVILLE",
            "state": "NJ",
            "postal_code": "085601504",
            "telephone_number": "609-730-2035",
            "fax_number": "609-730-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASICH",
        "first_name": "DIANE",
        "middle_name": "E",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00968000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0724157",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athena",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25 Scotch Rd Ste 29",
            "city": "Ewing",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086282500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Colin Archer, APN
• Assisted Living, Inc.
• Earle E Bain, M.D.
• Nyasha D Bakare, MD, MPH
• Julie Cane, PA-C
• Carla Maria Canuso, M.D.
• Catherine Danilo LCSW
• Kelsey Comyack
• Kelly Lyn Dauber, MA

• Family Nurse Practitioner in Titusville, NJ
• Providers in Titusville, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.