Dr. Jay B Basillote, MD
Specialist in Staten Island, New York
1245202555- Practice location
- 2071 Clove RD, Suite J, Staten Island, NY 10304-1612
- Phone
- 347-774-8386
- Fax
- 718-981-4261
- Last updated
- July 22, 2015
Jay B. Basillote is a Specialist based in Staten Island, NY. Jay B. Basillote practices in Staten Island, NY and has the professional credentials of MD. The NPI Number for Jay B. Basillote is 1245202555 and holds a License No. 214885 (NY). The current practice location address for Jay B. Basillote is 2071 Clove RD, Suite J, Staten Island, NY 10304-1612 and can be reached out via phone at 347-774-8386 and via fax at 718-981-4261.
Provider Profile Details
- NPI Number
- 1245202555
- Provider Name
- Jay B. Basillote
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2071 Clove RD, Suite J, Staten Island, NY 10304-1612
- Phone Number
- 347-774-8386
- Fax Number
- 718-981-4261
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 2, 2006
- Last Update Date
- July 22, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2071 Clove RD
Suite J
Staten Island, NY 10304-1612 - City
- Staten Island
- State
- New York
- Zip
- 10304-1612
- Phone Number
- 347-774-8386
- Fax Number
- 718-981-4261
Provider Business Mailing Address Details
- Address
- 2071 Clove RD
Suite J
Staten Island, NY 10304-1612 - City
- Staten Island
- State
- NY
- Zip
- 10304-1612
- Phone Number
- 347-774-8386
- Fax Number
- 718-981-4261
License Information
- License Number
- 214885
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Staten Island, NY
View all Specialists in Staten Island →Frequently Asked Questions
What is the NPI number of Dr. Jay B Basillote, MD?
The NPI number of Dr. Jay B Basillote, MD is 1245202555. It was assigned on February 2, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jay B Basillote, MD?
Dr. Jay B Basillote, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 214885.
Where does Dr. Jay B Basillote, MD practice?
The practice location is 2071 Clove RD, Suite J, Staten Island, NY 10304-1612. The office can be reached at 347-774-8386 (phone) or 718-981-4261 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245202555 directly on the NPPES registry website.