Active NPIIndividual provider

Dr. Irina Bass, MD

Pediatrics in Fair Lawn, New Jersey

NPI Number1346212156
Practice location
15-01 Broadway, Suite36, Fair Lawn, NJ 07410-6003
Fax
201-773-4845
Last updated
July 8, 2007

Irina Bass is a Pediatrics based in Fair Lawn, NJ. Irina Bass practices in Fair Lawn, NJ and has the professional credentials of MD. The NPI Number for Irina Bass is 1346212156 and holds a License No. 25MA07639000 (NJ). The current practice location address for Irina Bass is 15-01 Broadway, Suite36, Fair Lawn, NJ 07410-6003 and can be reached out via phone at 201-773-6171 and via fax at 201-773-4845.

Provider Profile Details

NPI Number
1346212156
Provider Name
Irina Bass
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
15-01 Broadway, Suite36, Fair Lawn, NJ 07410-6003
Phone Number
201-773-6171
Fax Number
201-773-4845
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
February 6, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
15-01 Broadway
Suite36
Fair Lawn, NJ 07410-6003
Zip
07410-6003
Phone Number
201-773-6171
Fax Number
201-773-4845
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
15-01 Broadway Ste 36
Fair Lawn, NJ 07410-6006
City
Fair Lawn
State
NJ
Zip
07410-6006
Phone Number
201-773-6171
Fax Number
201-773-4845

License Information

License Number
25MA07639000
License State
NJ
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Irina Bass, MD?

The NPI number of Dr. Irina Bass, MD is 1346212156. It was assigned on February 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Irina Bass, MD?

Dr. Irina Bass, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA07639000.

Where does Dr. Irina Bass, MD practice?

The practice location is 15-01 Broadway, Suite36, Fair Lawn, NJ 07410-6003. The office can be reached at 201-773-6171 (phone) or 201-773-4845 (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 1346212156 directly on the NPPES registry website.

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