Active NPI
Tonuca Basu, M.D.
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1699717017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 209562
- Practice address
- 3440 Fulton St
Brooklyn, NY 11208-1716 - Phone
- (718) 235-0222
- Fax
- (718) 235-1811
- NPI assigned
- Jun 11, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 209562 | NY | Primary |
Addresses
Primary practice location
3440 Fulton St
Brooklyn, NY 11208-1716
Mailing address
8116 Lefferts Blvd
Kew Gardens, NY 11415-1729
Phone (718) 850-4370
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01911417 | Medicaid | NY | |
| 2596365 | Other | NY | GHI |
| P2097880 | Other | NY | OXFORD |
| 4648370 | Other | NY | AETNA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209562 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tonuca Basu Physician P.C. | Current | Accepting new patients | |
| SWH Naqvi MD PC | Past | Accepting new patients | |
| Unique Dental Care of Nyc PC | Past | Accepting new patients | |
| Bhavana R. Japi Physician P.C. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CEIBBA
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Ridgewood, NY
- NPI 1104266584
-
- Primary Care Clinic/Center
- Brooklyn, NY
- NPI 1184880874
-
- Neurology Physician
- Long Beach, NY
- NPI 1972834489
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1609930239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480032000000",
"number": "1699717017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8116 LEFFERTS BLVD",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114151729",
"telephone_number": "718-850-4370",
"fax_number": "718-732-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 FULTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112081716",
"telephone_number": "718-235-0222",
"fax_number": "718-235-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASU",
"first_name": "TONUCA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2016-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "209562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01911417",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2596365",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2097880",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4648370",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.