Prithwijit Basu MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

190318 Issued in NY

Legal business name

PRITHWIJIT BASU MD PC

Practice address

5 Station SQ
Forest Hills, NY 11375-5232

Phone

(718) 897-0584

Fax

(718) 896-5571

NPI assigned

Dec 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Prithwijit Basu, MD

Title

President

Phone

(718) 897-0584

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1871862185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STATION SQ",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755232",
            "telephone_number": "718-897-0584",
            "fax_number": "718-896-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 STATION SQ",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755232",
            "telephone_number": "718-897-0584",
            "fax_number": "718-896-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRITHWIJIT BASU MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "BASU",
        "authorized_official_first_name": "PRITHWIJIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-897-0584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "190318",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "190318",
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hepatology",
            "state": "NY",
            "license": "190318",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01466908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.