Organization Active NPI

Lewis Bass DO PC

  • Family Medicine Physician
  • Ridgewood, NY
National Provider Identifier
1689840787
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
124814 Issued in NY
Legal business name
LEWIS BASS DO PC
Practice address
58 50 Catalpa Ave
Ridgewood, NY 11385-5032
Phone
(718) 821-1969
Fax
(718) 821-1125
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Lewis Bass, MD
Title
President
Phone
(516) 625-1944

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X 124814 NY
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 124814 NY Primary

Addresses

Primary practice location

58 50 Catalpa Ave
Ridgewood, NY 11385-5032

Mailing address

31 Peacock Dr
Roslyn, NY 11576-2522
Phone (516) 625-1944

National Provider Directory

National Provider Directory

Locations

15 Munro Blvd
Valley Stream, NY 11581
Phone (516) 791-5800

Practitioners & affiliated clinicians

Practitioners 1

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": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1689840787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PEACOCK DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762522",
            "telephone_number": "516-625-1944",
            "fax_number": "516-626-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 50 CATALPA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855032",
            "telephone_number": "718-821-1969",
            "fax_number": "718-821-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS BASS DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-625-1944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "124814",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "124814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.