Jose Alberto Bastidas, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD059622L Issued in PA

Practice address

3735 Easton Nazareth Hwy
Suite 302
Easton, PA 18045-8338

Phone

(610) 258-3375

Fax

(610) 258-3946

NPI assigned

Sep 2, 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 PA

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 Medicine

State licenses

Practice roles

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.

• Atul K. Amin, MD PC

  • Specialist
  • Easton, PA
  • NPI 1003900762
  Medicare reassignment
• Twin Rivers Urology, P.C.

  • Urology Physician
  • Phillipsburg, NJ
  • NPI 1558394585
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487756292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 EASTON NAZARETH HWY",
            "address_2": "SUITE 302",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458338",
            "telephone_number": "610-258-3375",
            "fax_number": "610-258-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 EASTON NAZARETH HWY",
            "address_2": "SUITE 302",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458338",
            "telephone_number": "610-258-3375",
            "fax_number": "610-258-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIDAS",
        "first_name": "JOSE",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD059622L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelin Carolina Basilio Paula, MD
• Christopher Scott Baskwell, DPT
• Susan A. Basow, PH.D.
• Anne Bassler, CRNA
• Robert L Bassler, CRNA
• Rama R Batchu, MD
• Matthew Bayly
• Susan Carol Baynard
• Jennifer Nicole Beam, RD
• Christine H Beck, MD

• Specialist in Easton, PA
• Providers in Easton, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.