Active NPIIndividual provider

Mr. Basil J Baccash, PT

Physical Therapist in Holmdel, New Jersey

NPI Number1730184037
Practice location
2145 Route 35 Ste 24, Holmdel, NJ 07733-1163
Fax
732-855-9755
Last updated
July 21, 2022

Basil J Baccash is a Physical Therapist based in Holmdel, NJ. Basil J Baccash practices in Holmdel, NJ and has the professional credentials of PT. The NPI Number for Basil J Baccash is 1730184037 and holds a License No. 40QA00241800 (NJ). The current practice location address for Basil J Baccash is 2145 Route 35 Ste 24, Holmdel, NJ 07733-1163 and can be reached out via phone at 732-264-9494 and via fax at 732-855-9755.

Provider Profile Details

NPI Number
1730184037
Provider Name
Basil J Baccash
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
2145 Route 35 Ste 24, Holmdel, NJ 07733-1163
Phone Number
732-264-9494
Fax Number
732-855-9755
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2005
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
2145 Route 35 Ste 24
Holmdel, NJ 07733-1163
Zip
07733-1163
Phone Number
732-264-9494
Fax Number
732-855-9755
Holmdel, NJ 07733Get directions →

Provider Business Mailing Address Details

Address
Po Box 1014
Clark, NJ 07066-1014
City
Clark
State
NJ
Zip
07066-1014
Phone Number
732-855-9751
Fax Number
732-855-9755

License Information

License Number
40QA00241800
License State
NJ
Taxonomy
Physical Therapist · 225100000X · 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 Mr. Basil J Baccash, PT?

The NPI number of Mr. Basil J Baccash, PT is 1730184037. It was assigned on June 15, 2005 and is currently active in the NPPES registry.

What is the specialty of Mr. Basil J Baccash, PT?

Mr. Basil J Baccash, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00241800.

Where does Mr. Basil J Baccash, PT practice?

The practice location is 2145 Route 35 Ste 24, Holmdel, NJ 07733-1163. The office can be reached at 732-264-9494 (phone) or 732-855-9755 (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 1730184037 directly on the NPPES registry website.

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