Maryellen Basile

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

313319 Issued in NY

Practice address

6143 Fresh Meadow LN
Fresh Meadows, NY 11365-2018

Phone

(646) 270-1072

NPI assigned

Mar 23, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1548919756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 142ND ST",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113572349",
            "telephone_number": "646-270-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6143 FRESH MEADOW LN",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652018",
            "telephone_number": "646-270-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILE",
        "first_name": "MARYELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "313319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghamari Krista Barnett, DSW, MSW, LSW
• Ruth Barral, M.S. ED
• Dion J Barrett
• Michael Joseph Bartell
• Jungyun Basham, NP
• Zvi Jon Batash, M.D.
• Melanie Batista, LMT
• Nina Angelica Eseo Batista
• BB Medical Equipment Inc
• Rokeya Begum

• Registered Nurse in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.