Active NPI
Alan Roy Baskin, MD
- Internal Medicine Physician
- Dumont, NJ
National Provider Identifier
1730122953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA02458800
- Practice address
- 316 Knickerbocker Rd
Dumont, NJ 07628-1724 - Phone
- (201) 385-6161
- Fax
- (201) 385-1671
- NPI assigned
- Jun 14, 2006
- Last updated
- Jul 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA02458800 | NJ | Primary |
| Internal Medicine Physician | 207R00000X | 0948041 | NY |
Addresses
Primary practice location
316 Knickerbocker Rd
Dumont, NJ 07628-1724
Mailing address
452 Old Hook Rd
2ND Floor
Emerson, NJ 07630-1381
Phone (201) 666-3900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112927088 | Other | NJ | RAILROAD MEDICARE |
| AB05026510 | Other | EMPIRE BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 0948041 | NY | MD | Internal Medicine Physician |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Dumont, NJ
- NPI 1609890136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467936000000",
"number": "1730122953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 OLD HOOK RD",
"address_2": "2ND FLOOR",
"city": "EMERSON",
"state": "NJ",
"postal_code": "076301381",
"telephone_number": "201-666-3900",
"fax_number": "201-261-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 KNICKERBOCKER RD",
"city": "DUMONT",
"state": "NJ",
"postal_code": "076281724",
"telephone_number": "201-385-6161",
"fax_number": "201-385-1671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASKIN",
"first_name": "ALAN",
"middle_name": "ROY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2016-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA02458800",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "0948041",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "112927088",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
"identifier": "AB05026510",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dumont, NJ
- Emma Aquino, M.D.
- Aspirewellness Physical Therapist P.C.
- Rosalie Diana Atkinson, BA, MBA, MHA, DBA IN
- Bancroft, a New Jersey Nonprofit Corporation
- Stephanie A. Barnes, M.D.
- Eillen Segovia Baylon
- Bergen County Chiropractic Center (Spinal Rehabilitation and Wellness Center)
- Bergen Inst of Intnl Medicine PA
- Jacqueline Ann Best, MA, LMFT
- Bethesda Lutheran
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.