Lewis Bass, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

124814 Issued in NY

Practice address

1 Dakota Dr Ste 210-212
New Hyde Park, NY 11042-1135

Phone

(516) 622-6196

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1457321523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PEACOCK DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762522",
            "telephone_number": "516-625-1944",
            "fax_number": "516-626-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DAKOTA DR STE 210-212",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421135",
            "telephone_number": "516-622-6196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58 50 Catalpa Ave",
            "address_purpose": "LOCATION",
            "city": "Ridgewood,",
            "state": "NY",
            "postal_code": "113855032",
            "country_code": "US",
            "telephone_number": "718-821-1969",
            "fax_number": "718-821-1125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASS",
        "first_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "124814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Anne Baseil, PA-C
• Ignat Bashkirov, MD
• Jonathan Basile, D.P.T.
• Patricia Ann Basile, MS,PT
• Madeleine Basist, MD
• Daniel Bassiri-Tehrani, MD
• Daniel James Bastardi, DDS
• Christine Bastien, FNP
• Kristen Basulto, LMHC
• Cynthia Lyn Battistoli, M.S. CCC-SLP

• Family Medicine Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.