Martin Bassiur, D.D.S.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

027392A Issued in NY

Practice address

999 Central Ave Ste 103
Woodmere, NY 11598-1205

Phone

(516) 374-2266

Fax

(516) 374-8999

NPI assigned

Jun 2, 2005

Reactivated

Mar 29, 2006

Last updated

Jun 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Oral Surgery

Education

New York University College of Dentistry, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oral Maxilofacial and Dental Pain Managment

  • Pain Clinic/Center
  • New York, NY
  • NPI 1093049934
  NPD (past) Authorized official
• Icahn School of Medicine at Mount Sinai

  dba OB/GYN Department of Mount Sinai

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1124392212

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1528060621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115980387",
            "telephone_number": "516-374-2266",
            "fax_number": "516-374-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 CENTRAL AVE STE 103",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981205",
            "telephone_number": "516-374-2266",
            "fax_number": "516-374-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSIUR",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2019-06-18",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "027392A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guidun Bai
• Judith Bamberger-Carroll, PSY.D.
• Makailie Barney
• Christina M Barone, LMSW
• Jennifer Paige Bassiur, D.D.S.
• Darra Meredith Battino, DPT
• Elaine Gladys Baum-Simon, MACCCLSP
• Randie Bauman-Renna, LMSW
• Patience Bear
• Mark P Bell, D.P.M.

• Oral & Maxillofacial Surgery (D.M.D.) in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in New York

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