Individual provider Active NPI

Basil Elamir

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1528697315
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA11975900 Issued in NJ
Practice address
192 Harrison Ave
Jersey City, NJ 07304-1906
Phone
(201) 819-8385
NPI assigned
Apr 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 25MA11975900 NJ Primary

Addresses

Primary practice location

192 Harrison Ave
Jersey City, NJ 07304-1906

Mailing address

211 E Saddle River Rd
Saddle River, NJ 07458-2633
Phone (201) 819-8385

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20231017002772 NJ Practitioner - Internal Medicine 8527413194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MM JC Breathing Center Family LTD PartnershipGroup PAC ID 6406905850, 7 clinicians

Practice addresses (Care Compare)

192 Harrison Ave
Jersey City, NJ 07304-1906
Phone (201) 333-5363

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
  • Grace Healthcare Services LLC Hospice, Edison, NJ, CCN 311563
  • Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074
  • Carepoint Health - Bayonne Medical Center Hospital, Bayonne, NJ, CCN 310025
  • Heights University Hospital Hospital, Jersey City, NJ, CCN 310016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA11975900NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MM JC Breathing Center Family LTD Partnership Internal Medicine CurrentSince Sep 20, 2023 Accepting new patients
Jersey City Medical Center Past Accepting new patients

Locations

550 Summit Ave
Ste 1A
Jersey City, NJ 07306
Phone (201) 222-5450

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

142 Palisade Ave
Ste 108
Jersey City, NJ 07306
Phone (201) 420-1555

192 Harrison Ave
Jersey City, NJ 07304
Phone (201) 333-5363

1856 John F Kennedy Blvd
Jersey City, NJ 07305
Phone (973) 645-0000

550 Summit Ave
Ste 1
Jersey City, NJ 07306

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1528697315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E SADDLE RIVER RD",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582633",
            "telephone_number": "201-819-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 HARRISON AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041906",
            "telephone_number": "201-819-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAMIR",
        "first_name": "BASIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11975900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.