Jaime A Bastidas, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

MD422370 Issued in PA

Practice address

244 Roseberry St.
Suite #5
Phillipsburg, NJ 08865

Phone

(908) 454-1704

Fax

(908) 454-1706

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ, PA, NY3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbastidasmd191171@ahs.direct-ci.com
• Direct secure messaging: jaimebastidas@jacmdllc.allscriptsdirect.net

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.

• Bastidas Plastic Surgery, PC

  • Plastic Surgery Physician
  • Paterson, NJ
  • NPI 1053724674
  Medicare reassignment NPD Authorized official
• Better Reflections Holistic Plastic Surgery P.C.

  • Plastic Surgery Physician
  • Phillipsburg, NJ
  • NPI 1225994361
  Medicare reassignment NPD Authorized official
• Medicine Check PC

  • Family Medicine Physician
  • Stone Mountain, GA
  • NPI 1457020497

  NJ, NY, PA

  Medicare reassignment NPD
• Medicine Check PC

  • Facial Plastic Surgery Physician
  • Staten Island, NY
  • NPI 1942979224
  Medicare reassignment NPD
• Center for Vein Restoration NJ LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Morristown, NJ
  • NPI 1114888179
  NPD (past)
• Twin Rivers Urology, P.C.

  • Urology Physician
  • Phillipsburg, NJ
  • NPI 1558394585
  NPD (past)
• Professional Anesthesia Services of North America P.C.

  • Anesthesiology Physician
  • Bethlehem, PA
  • NPI 1972994820
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1992807705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 ROSEBERRY ST.",
            "address_2": "SUITE #5",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "08865",
            "telephone_number": "908-454-1704",
            "fax_number": "908-454-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 ROSEBERRY ST.",
            "address_2": "SUITE #5",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "08865",
            "telephone_number": "908-454-1704",
            "fax_number": "908-454-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIDAS",
        "first_name": "JAIME",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD422370",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07689900",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD422370",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA07689900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "074448ZH1E",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "074448UK1",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "073750",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sage M Banfield, DC
• Jed Bartholomew, PHARMD
• Shane Michelle Bartholomew, CRNP
• Christina Bartoni, DO
• Robert Baskies, D.M.D
• Lawrence Paul Bauer Jr., LRCP
• Lucien S Bautista, DO
• Beacon Specialized Living New Jersey, Inc.
• Linda Beal, MSN, APRN
• Allison Flynn Becker, LCSW

• Plastic and Reconstructive Surgery Physician in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Plastic and Reconstructive Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.