Active NPI
Tamar Bassous
- Pediatric Dentistry
- Monroe, NY
National Provider Identifier
1649543737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 056832-1
- Practice address
- 1 Prag Blvd
Monroe, NY 10950-8445 - Phone
- (845) 783-6664
- NPI assigned
- Feb 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 056832-1 | NY | Primary |
Addresses
Primary practice location
1 Prag Blvd
Monroe, NY 10950-8445
Mailing address
287 Herrick Ave
Teaneck, NJ 07666-3306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056832-1 | NY | MD | Pediatric Dentist |
Interoperability endpoints
- tamar.golddds.p1@direct.ezramedical.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1649543737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 HERRICK AVE",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PRAG BLVD",
"city": "MONROE",
"state": "NY",
"postal_code": "109508445",
"telephone_number": "845-783-6664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSOUS",
"first_name": "TAMAR",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-20",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "056832-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.