Individual provider Active NPI

Adonis B Bassil, P.T.

  • Specialist
  • Neptune, NJ
National Provider Identifier
1487724183
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA00657600 Issued in NJ
Practice address
1900 State Route 33
Omni Center, First Floor, Suite 1a
Neptune, NJ 07753-4800
Phone
(732) 517-0700
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA00657600 NJ
Specialist 174400000X 40QA00657600 NJ Primary

Addresses

Primary practice location

1900 State Route 33
Omni Center, First Floor, Suite 1a
Neptune, NJ 07753-4800

Mailing address

1900 State RT 33 First Floor Suite 1a
Neptune, NJ 07753-4800
Phone (732) 517-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000756 NJ Practitioner - Physical Therapist in Private Practice 6608960281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1800 Millstone River Rd
Hillsborough, NJ 08844-2301
Phone (732) 517-0700

1900 State Route 33
Neptune, NJ 07753-4800
Phone (732) 517-0700

1900 State Route 33 1St Floor 1a
Neptune, NJ 07753-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adonis Bassil PC Physical Therapy CurrentSince Mar 1, 2008 Accepting new patients
Monmouth Pain and Rehabilitation PC Physical Therapy Past Accepting new patients

Locations

1900 State Route 33
Fl 1A
Neptune, NJ 07753
Phone (732) 517-0700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1487724183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 STATE RT 33 FIRST FLOOR SUITE 1A",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534800",
            "telephone_number": "732-517-0700",
            "fax_number": "732-517-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 STATE ROUTE 33",
            "address_2": "OMNI CENTER, FIRST FLOOR, SUITE 1A",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534800",
            "telephone_number": "732-517-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSIL",
        "first_name": "ADONIS",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00657600",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA00657600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.