NPIMap

Individual provider Active NPI

Sandip Basak, MD

  • Neuroradiology Physician
  • East Brunswick, NJ
National Provider Identifier
1619950490
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
25MA07543200 Issued in NJ
Practice address
483 Cranbury Rd
East Brunswick, NJ 08816-3610
Phone
(732) 390-0030
Fax
(732) 390-5383
NPI assigned
Nov 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 25MA07543200 NJ Primary
Diagnostic Radiology Physician 2085R0202X 25MA07543200 NJ

Addresses

Primary practice location

483 Cranbury Rd
East Brunswick, NJ 08816-3610

Mailing address

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0040

Other identifiers 2

IdentifierTypeStateIssuer
02394434MedicaidNY
0004928MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051020000228 NJ Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 3779509666 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shrewsbury Diagnostic Imaging, LLCGroup PAC ID 5890705651, 34 clinicians
Jersey Shore Imaging LLCGroup PAC ID 1355408212, 148 clinicians
Flemington Radiology Associates LLCGroup PAC ID 5294145819, 68 clinicians
University Radiology at Cooper LLCGroup PAC ID 4587053699, 78 clinicians
University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians
University Radiology at Trinitas LLCGroup PAC ID 9133174634, 126 clinicians
University Radiology-Atlantic, LLCGroup PAC ID 6901059864, 144 clinicians

Practice addresses (Care Compare)

1131 Broad St
Suite 110
Shrewsbury, NJ 07702-4334
Phone (732) 578-9640

2100 Corlies Ave
Neptune, NJ 07753-6102
Phone (732) 988-1234

2100 Wescott Dr
Flemington, NJ 08822-4603
Phone (732) 390-0040

2339 Route 70 W
Cherry Hill, NJ 08002-3315
Phone (732) 390-0040

3822 River Rd
Point Pleasant Boro, NJ 08742-2067
Phone (732) 892-1200

415 Morris Ave
Elizabeth, NJ 07208-3612
Phone (908) 351-7600

48 N Gilbert St
Tinton Falls, NJ 07701-4905
Phone (732) 530-5750

483 Cranbury Rd
East Brunswick, NJ 08816-3610
Phone 73239000402022

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070
  • Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039

Merit-based Incentive Payment System (MIPS)

Final score
96.21 of 100Reported as group
Quality
95.54
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as group
Quality
85.63
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.08 of 100Reported as group
Quality
90.68
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as group
Quality
95.96
Improvement activities
40
Cost
73.85

Merit-based Incentive Payment System (MIPS)

Final score
96.51 of 100Reported as group
Quality
95.9
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
86.64
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shrewsbury Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Flemington Radiology Associates, LLC Neuroradiology CurrentSince Dec 1, 2020 Accepting new patients
Jersey Shore Imaging, LLC Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
University Radiology-Atlantic, LLC Diagnostic Radiology CurrentSince Nov 1, 2012 Accepting new patients
University Radiology at Cooper, LLC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Hunterdon Medical Center Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Rwjuh Imaging at Plum Street, LLC Neuroradiology CurrentSince Mar 2, 2009 Accepting new patients
University Radiology at Trinitas, LLC Diagnostic Radiology CurrentSince Jul 1, 2008 Accepting new patients

Locations

2339 Route 70 W
Cherry Hill, NJ 08002
Phone (856) 406-4080

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

579 Cranbury Rd
East Brunswick, NJ 08816
Phone (609) 655-4151

483 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

415 Morris Ave
Elizabeth, NJ 07208
Phone (908) 351-7600

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

121 State Route 31
Ste 1100
Flemington, NJ 08822
Phone (908) 782-4700

833 Lacey Rd
Forked River, NJ 08731
Phone (609) 242-2334

105 Raider Blvd
Hillsborough, NJ 08844
Phone (908) 359-9331

111 Union Valley Rd
Monroe Twp, NJ 08831
Phone (609) 395-3470

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

3822 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 701-4848

1131 Broad St
Ste 110
Shrewsbury, NJ 07702
Phone (732) 578-9640

75 Veronica Ave
Somerset, NJ 08873
Phone (732) 246-0060

699 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 836-2500

48 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-5750

Organizations & group practices 9

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 11

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": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1619950490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579A CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-390-0040",
            "fax_number": "732-390-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163610",
            "telephone_number": "732-390-0030",
            "fax_number": "732-390-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASAK",
        "first_name": "SANDIP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NJ",
            "license": "25MA07543200",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07543200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02394434",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004928",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.