Inna Basanskaya, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01498000 Issued in NJ

Practice address

585 Main St
Woodbridge, NJ 07095-1104

Phone

(732) 636-5151

NPI assigned

Sep 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hackensack Meridian Outpatient Services, Inc.Group PAC ID 7113392812, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Hackensack Meridian Outpatient Services, Inc.

  dba Hackensack Meridian Rehabilitation Clark

  • Physical Therapist
  • Clark, NJ
  • NPI 1982381026
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1831812296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CLAVENDON CT",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077483533",
            "telephone_number": "732-991-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MAIN ST",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951104",
            "telephone_number": "732-636-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASANSKAYA",
        "first_name": "INNA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01498000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Baldeo
• Julio C Baquerizo, NURSE PRACTITIONER
• Steven Barandica, M.ED., ATC, LAT, EMT
• Kyrillos Hany Barsoum, DPT
• Taylor Lynn Barto, OTR/L
• Jamie Basile, PHARMD
• Baver and Corduan Family Chiropractic Health Center P.C.
• Bruce Alan Baver, D.C.
• Bebold and Be Free & Unique Services LLC
• David Bendich, M.D.

• Physical Therapist in Woodbridge, NJ
• Providers in Woodbridge, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.