Active NPIIndividual providerSole proprietor

Gregory Basmajian, MBA, ATC

Specialist/Technologist, Athletic Trainer in Cambridge, Massachusetts

NPI Number1669925061
Practice location
120 Vassar St, Cambridge, MA 02139-4311
Fax
—
Last updated
August 2, 2016

Gregory Basmajian is a Specialist/Technologist, Athletic Trainer based in Cambridge, MA. Gregory Basmajian practices in Cambridge, MA and has the professional credentials of MBA, ATC. The NPI Number for Gregory Basmajian is 1669925061 and holds a License No. 2441 (MA). The current practice location address for Gregory Basmajian is 120 Vassar St, Cambridge, MA 02139-4311 and can be reached out via phone at 978-697-4572.

Provider Profile Details

NPI Number
1669925061
Provider Name
Gregory Basmajian
Credential
MBA, ATC
Provider Entity Type
Individual
Gender
Male
Address
120 Vassar St, Cambridge, MA 02139-4311
Phone Number
978-697-4572
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
August 2, 2016
Last Update Date
August 2, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Vassar St
Cambridge, MA 02139-4311
Zip
02139-4311
Phone Number
978-697-4572
Cambridge, MA 02139Get directions →

Provider Business Mailing Address Details

Address
5 Michael Ln
Haverhill, MA 01830-2272
City
Haverhill
State
MA
Zip
01830-2272
Phone Number
978-697-4572

License Information

License Number
2441
License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · 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 Gregory Basmajian, MBA, ATC?

The NPI number of Gregory Basmajian, MBA, ATC is 1669925061. It was assigned on August 2, 2016 and is currently active in the NPPES registry.

What is the specialty of Gregory Basmajian, MBA, ATC?

Gregory Basmajian, MBA, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2441.

Where does Gregory Basmajian, MBA, ATC practice?

The practice location is 120 Vassar St, Cambridge, MA 02139-4311. The office can be reached at 978-697-4572 (phone).

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 1669925061 directly on the NPPES registry website.

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