Basri MD Diabetes Relief PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

BASRI MD DIABETES RELIEF PC

Practice address

2825 3Rd Ave Ste 200
Bronx, NY 10455-4066

Phone

(916) 550-1050

Fax

(916) 550-1238

NPI assigned

Oct 25, 2017

Last updated

Oct 25, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

DIABETES RELIEF CENTER OF BRONX MSO LLCAs reported in NPPES

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

Authorized official

Name

Deane Wallace

Title

Credentialing Specialist

Phone

(916) 571-9041

Specialties & licenses 1

Addresses

Part of

Diabetes Relief Center of Bronx Mso LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Diabetes Relief Center of Bronx Mso LLC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1043738586
  NPPES parent name

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1730691171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 AUBURN BLVD STE J",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414139",
            "telephone_number": "916-550-1050",
            "fax_number": "916-550-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 3RD AVE STE 200",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554066",
            "telephone_number": "916-550-1050",
            "fax_number": "916-550-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASRI MD DIABETES RELIEF PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIABETES RELIEF CENTER OF BRONX MSO LLC",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DEANE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "916-571-9041"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorit Basiratmand, DDS
• Mohammad Basit, M.D.
• Maisha Basith
• David Aaron Baskas, DDS
• Sadhana Basnet, MD
• Galina Bass, MD
• Gladys Bass
• Kenneth Bass, DC
• Therese Bass, CASAC-T, BA, CDN
• Leeda Bassam, DDS

• Endocrinology, Diabetes & Metabolism Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.