Bastien Medical, PLLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

BASTIEN MEDICAL, PLLC

Doing business as

Ageless Perfection Medspa

Practice address

320 Depot LN
Cutchogue, NY 11935-1274

Phone

(631) 655-8920

NPI assigned

Apr 18, 2023

Last updated

Nov 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peggy Bastien

Title

Owner

Phone

(516) 476-8353

Specialties & licenses 1

Addresses

Other names 1

• Ageless Perfection Medspa Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Merckling, D.C.

  • Chiropractor
  • Bellport, NY
  • NPI 1033200563
  NPD
• Dennis P O'Hara, DC

  • Sports Physician Chiropractor
  • Chantilly, VA
  • NPI 1235229097
  NPD (past)

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1730876053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 5TH AVE RM 1402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165034",
            "telephone_number": "516-476-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 DEPOT LN",
            "city": "CUTCHOGUE",
            "state": "NY",
            "postal_code": "119351274",
            "telephone_number": "631-655-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASTIEN MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "BASTIEN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-476-8353"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ageless Perfection Medspa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aid to the Developmentally Disabled
• Tracey Andersen, LMHC
• John Roger Borzilleri, MD
• Susan Quarty Bowen, R.N.
• Alison Byers, PSY.D
• Michael Stephen Catapano, MD
• Julia Rebekah Theodora Chachere, NP, CNM

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Cutchogue, NY
• Providers in Cutchogue, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.