Individual provider Active NPI

Alan L. Bass, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Manalapan, NJ
National Provider Identifier
1649260563
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
25MD00231100 Issued in NJ
Practice address
701 Tennent Rd Ste 101
Manalapan, NJ 07726-3193
Phone
(732) 866-4411
Fax
(732) 866-0044
NPI assigned
Oct 22, 2005
Last updated
Apr 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X N005169-1 NY
Primary Podiatric Medicine Podiatrist 213EP1101X 25MD00231100 NJ Primary

Addresses

Primary practice location

701 Tennent Rd Ste 101
Manalapan, NJ 07726-3193

Mailing address

701 Tennent Rd Ste 101
Manalapan, NJ 07726-3193
Phone (732) 866-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031204000276 NJ Practitioner - Podiatry 1951206879 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005169NYMDSocial Worker
N005169-1NYMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Foot and Ankle Care, P.C. CurrentSince Aug 1, 2009 Accepting new patients
Hal Ornstein Et Al PTR Affiliated Foot & Ankle Center LLP Past Accepting new patients

Locations

701 Tennent Rd
Ste 101
Manalapan, NJ 07726
Phone (732) 866-4411

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1649260563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TENNENT RD STE 101",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263193",
            "telephone_number": "732-866-4411",
            "fax_number": "732-866-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TENNENT RD STE 101",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263193",
            "telephone_number": "732-866-4411",
            "fax_number": "732-866-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "ALAN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-22",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N005169-1",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00231100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.