Jayati Basak, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MA44176 Issued in NJ

Practice address

1608 Lemoine Ave
Fort Lee, NJ 07024-5622

Phone

(201) 346-1112

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Leonid Lamper MD PC

  • Anesthesiology Physician
  • Elmwood Park, NJ
  • NPI 1659687903
  Medicare reassignment NPD
• Pain Management Institute PA

  • Anesthesiology Physician
  • Elmwood Park, NJ
  • NPI 1780989087
  Medicare reassignment NPD
• Fort Lee Medical Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Fort Lee, NJ
  • NPI 1467681775
  NPD (past)
• Igor M Povzhitkov M D P C

  • Ambulatory Surgical Clinic/Center
  • Paramus, NJ
  • NPI 1801087572
  NPD (past)
• Comfort Anesthesia PC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1073685277
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720155518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BENNINGTON TER",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521334",
            "telephone_number": "201-845-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245622",
            "telephone_number": "201-346-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASAK",
        "first_name": "JAYATI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MA44176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0875708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raviprasad Bandi
• Scott M Banford, LCSW
• Harry Banschick, M.D.
• Fenglei Bao
• Silvio Anthony Barone, R.PH
• Irina Bashkirov, LAC
• Elliot H Bass, DDS
• Wendy Lee Bauer, BCBA
• Demetrios Bayiokos, D.M.D.
• BC Dental FTL, PC

• Anesthesiology Physician in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.