NPIMap

Organization Active NPI

John J Basile MD PC

  • Urology Physician
  • Fairfax, VA
National Provider Identifier
1639938293
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
JOHN J BASILE MD PC
Practice address
3020 Hamaker CT Ste B111
Fairfax, VA 22031-2220
Phone
(703) 876-0288
Fax
(703) 876-0290
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Sunil V PatelNPI 1366419202
Title
President
Phone
(703) 876-0288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

3020 Hamaker CT Ste B111
Fairfax, VA 22031-2220

Mailing address

3020 Hamaker CT Ste B111
Fairfax, VA 22031-2220
Phone (703) 876-0288

Other names 1

  • Commonwealth Urology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth Urology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3020 Hamaker Ct
Ste B111
Fairfax, VA 22031
Phone (703) 876-0288

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1639938293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT STE B111",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312220",
            "telephone_number": "703-876-0288",
            "fax_number": "703-876-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT STE B111",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312220",
            "telephone_number": "703-876-0288",
            "fax_number": "703-876-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J BASILE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-876-0288"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.