Individual provider Active NPI

Jay Alan Bassell, MD

  • Obstetrics & Gynecology Physician
  • Jamaica, NY
National Provider Identifier
1841366713
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
160412 Issued in NY
Practice address
147-32 Jamaica Avenue
Jamaica, NY 11435-4042
Phone
(718) 786-5000
NPI assigned
Nov 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 160412 NY Primary

Addresses

Primary practice location

147-32 Jamaica Avenue
Jamaica, NY 11435-4042

Mailing address

825 W End Ave
New York, NY 10025-5349
Phone (212) 932-3027

Other practice location 1

29 28 41st Ave.
Long Island City, NY 11101
Phone (718) 787-5000

Other identifiers 6

IdentifierTypeStateIssuer
976020OtherNYUNITED HEALTHCARE
01103259MedicaidNY
65N652OtherNYBLUE CROSS BLUE SHIELD
9507194OtherNYGHI
10000024896OtherNYAFFINITY
4353664OtherNYAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180219000568 NY Practitioner - Obstetrics/Gynecology 5597026302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Medical Care PCGroup PAC ID 6507848603, 2 clinicians

Practice addresses (Care Compare)

14732 Jamaica Ave
Jamaica, NY 11435-4082
Phone (718) 786-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
160412NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choices Women'S Medical Center, Inc. CurrentSince Nov 5, 2017 Accepting new patients
Comprehensive Medical Care, PC CurrentSince Jul 17, 2019 Accepting new patients

Locations

14732 Jamaica Ave
Jamaica, NY 11435
Phone (718) 206-2002

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841366713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255349",
            "telephone_number": "212-932-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147-32 JAMAICA AVENUE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354042",
            "telephone_number": "718-786-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 28 41st Ave.",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "11101",
            "country_code": "US",
            "telephone_number": "718-787-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSELL",
        "first_name": "JAY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "160412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "976020",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01103259",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65N652",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9507194",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY",
            "identifier": "10000024896",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4353664",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.