Organization Active NPI

Daniel Bassiri MD PLLC

  • Anesthesiology Physician
  • Great Neck, NY
National Provider Identifier
1861942187
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
276629 Issued in NY
Legal business name
DANIEL BASSIRI MD PLLC
Practice address
100 Wildwood Rd
Great Neck, NY 11024-1223
Phone
(516) 458-2244
NPI assigned
Oct 11, 2016
Last updated
Oct 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Dr. Daniel Bassiri-Tehrani
Title
President
Phone
(516) 458-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 276629 NY Primary

Addresses

Primary practice location

100 Wildwood Rd
Great Neck, NY 11024-1223

Mailing address

100 Wildwood Rd
Great Neck, NY 11024-1223
Phone (516) 458-2244

Other identifiers 1

IdentifierTypeStateIssuer
04086917MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1861942187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILDWOOD RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241223",
            "telephone_number": "516-458-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILDWOOD RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241223",
            "telephone_number": "516-458-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL BASSIRI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "BASSIRI-TEHRANI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-458-2244",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "276629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04086917",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.