Active NPI
Jeffrey Lynn Bastoky, PA
- Physician Assistant
- Boca Raton, FL
National Provider Identifier
1447558192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 2748
- Practice address
- 800 Meadows Rd
Boca Raton, FL 33486-2304 - Phone
- (561) 955-4425
- NPI assigned
- Mar 4, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 2748 | FL | Primary |
Addresses
Primary practice location
800 Meadows Rd
Boca Raton, FL 33486-2304
Mailing address
800 Meadows Rd
Boca Raton, FL 33486-2304
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 2748 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1447558192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MEADOWS RD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MEADOWS RD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862304",
"telephone_number": "561-955-4425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASTOKY",
"first_name": "JEFFREY",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-04",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 2748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.