Active NPI
Lawrence S Bass, MD
- Plastic and Reconstructive Surgery Physician
- New York, NY
National Provider Identifier
1982755567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 170610
- Practice address
- 568 Park Ave
New York, NY 10021-7370 - Phone
- (212) 593-2600
- Fax
- (212) 593-2244
- NPI assigned
- Jan 12, 2007
- Last updated
- Mar 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 170610 | NY | Primary |
Addresses
Primary practice location
568 Park Ave
New York, NY 10021-7370
Mailing address
568 Park Ave
New York, NY 10065-7370
Phone (212) 593-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01513015 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040804000199 | NY | Practitioner - Plastic and Reconstructive Surgery | 4082685938 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Columbia University College of Physicians and Surgeons, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
568 Park Ave
New York, NY 10065-7370
Phone (212) 593-2600
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170610 | NY | MD | Plastic and Reconstructive Surgery Physician |
Interoperability endpoints
- lbass67931@northwell.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1982755567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "568 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657370",
"telephone_number": "212-593-2600",
"fax_number": "212-593-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "568 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100217370",
"telephone_number": "212-593-2600",
"fax_number": "212-593-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "LAWRENCE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NY",
"license": "170610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01513015",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.