Individual provider Active NPI

Kristina L Basile, FNP-BC

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1790297810
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340445-1 Issued in NY
Practice address
339 E 38TH St
New York, NY 10016-2745
Phone
(212) 263-1515
NPI assigned
Oct 30, 2017
Last updated
Oct 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F340445-1 NY Primary

Addresses

Primary practice location

339 E 38TH St
New York, NY 10016-2745

Mailing address

222 Crown Ave
Staten Island, NY 10312-2309
Phone (718) 724-3275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191023003392 NY Practitioner - Nurse Practitioner 3577895556 Reassigns benefits to 1 organization
I20210805001113 NJ Practitioner - Nurse Practitioner 3577895556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Neurology LLCGroup PAC ID 6002162898, 10 clinicians

Practice addresses (Care Compare)

55 -77 Schanck Rd
Suite B 11
Freehold, NJ 07728-2964
Phone (732) 515-6155

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F340445-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Sep 10, 2019 Accepting new patients
Caring Neurology LLC CurrentSince Jun 16, 2024 Accepting new patients
Pottstown Clinic Company LLC Past Accepting new patients

Locations

77 Schanck Rd
Ste B-11
Freehold, NJ 07728
Phone (732) 294-0383

901 W Main St
Ste 267
Freehold, NJ 07728
Phone (732) 333-8702

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

300 Community Dr
Manhasset, NY 11030

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

972 Brush Hollow Rd
Westbury, NY 11590

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJFEBD
  • Direct secure messaging: kristinabasile@jasjmdllc.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1790297810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CROWN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122309",
            "telephone_number": "718-724-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 E 38TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162745",
            "telephone_number": "212-263-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILE",
        "first_name": "KRISTINA",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340445-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.