Pascale Bastien MDPC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA64911 Issued in NJ

Legal business name

PASCALE BASTIEN MDPC

Doing business as

Pediatrics & adolescent Medicine of Delran

Practice address

8008 Route 130
Ste 204
Delran, NJ 08075-1869

Phone

(856) 824-0099

Fax

(856) 824-0088

NPI assigned

Jul 26, 2012

Last updated

Mar 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pascale Bastien, M.DNPI 1598792566

Title

Owner

Phone

(856) 824-0099

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pediatrics & adolescent Medicine of Delran Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pascale Bastien, M.D.

  • Pediatrics Physician
  • Delran, NJ
  • NPI 1598792566
  NPD Authorized official
• Lauren B Gabler, APN

  • Pediatric Nurse Practitioner
  • Delran, NJ
  • NPI 1104165489
  NPD (past)

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1548516693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 ROUTE 130",
            "address_2": "STE 204",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751869",
            "telephone_number": "856-824-0099",
            "fax_number": "856-824-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 ROUTE 130",
            "address_2": "STE 204",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751869",
            "telephone_number": "856-824-0099",
            "fax_number": "856-824-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCALE BASTIEN MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "BASTIEN",
        "authorized_official_first_name": "PASCALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-824-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA64911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7109407",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrics & adolescent Medicine of Delran",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Otto, LAC
• Jacquelyn Owens, FNP-C
• Michelle Mosesson Page, PT
• Arijana Painter
• Deep Parikh
• Kunal Mishal Patel, DMD
• Shivani Patel
• Patient First Maryland Physicians Group, P.C. (Patient First - Delran)
• Patient First New Jersey Physicians Group LLC (Patient First Delran)
• Patient First New Jersey Physicians Group LLC (Patient First - Delran)

• Pediatrics Physician in Delran, NJ
• Providers in Delran, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.