Mary Lou Ann Bastiao, MSED

Primary specialty

SpecialistTaxonomy code 174400000X

License

360140091 Issued in NY

Practice address

2 W Lane Dr
Plainview, NY 11803-5423

Phone

(516) 931-3447

NPI assigned

Jun 18, 2012

Last updated

Jun 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1437412178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W LANE DR",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035423",
            "telephone_number": "516-931-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W LANE DR",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035423",
            "telephone_number": "516-931-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIAO",
        "first_name": "MARY LOU",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "360140091",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "360140091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Elizabeth Barry
• Alexander Barsky
• Stanley John Bartkow, D.D.S.
• Lucas Bartlett
• Barry David Bass, D.D.S.
• Michelle Ann Bastiao, MSED
• Michelle Anne Battaglia-Capogna, O.D.
• Melissa Sue Bauer
• Jeffrey A Bauman
• Laurie Michelle Baumann, TSHH, MS, BCBA, SDL

• Specialist in Plainview, NY
• Providers in Plainview, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.