Yong-Son Basta, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036501 Issued in CT

Practice address

Stamford Hospital, 30 Shelburne Rd
Department of Pediatrics
Stamford, CT 06904-9317

Phone

(203) 276-7051

Fax

(203) 276-7363

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619015690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 HICKOK RD",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068403304",
            "telephone_number": "203-972-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STAMFORD HOSPITAL, 30 SHELBURNE RD",
            "address_2": "DEPARTMENT OF PEDIATRICS",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069049317",
            "telephone_number": "203-276-7051",
            "fax_number": "203-276-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTA",
        "first_name": "YONG-SON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "036501",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VI",
            "license": "1273",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001365015",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven M Baskin, PHD
• Aliza Lena Baskir, RD
• Karen Bassett, MS, OTR/L
• Andrew W Basta, DENTIST
• Dana Basta, MA
• Emily Anne Bates, SLP
• Jagdish Bathija, M.D.
• Philip Joseph Bauer, D.M.D.
• Stephen Marc Bauer, MD
• Fatima Rauf Bawany, MD

• All providers in Stamford, CT
• Pediatrics Physician in Connecticut

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.