Active NPIIndividual provider

Dr. Kevin R Basralian, MD

Specialist in Hackensack, New Jersey

NPI Number1851392252
Practice location
360 Essex St, Suite 403, Hackensack, NJ 07601-8550
Fax
551-996-8221
Last updated
December 16, 2014

Kevin R Basralian is a Specialist based in Hackensack, NJ. Kevin R Basralian practices in Hackensack, NJ and has the professional credentials of MD. The NPI Number for Kevin R Basralian is 1851392252 and holds a License No. 25MA04654700 (NJ). The current practice location address for Kevin R Basralian is 360 Essex St, Suite 403, Hackensack, NJ 07601-8550 and can be reached out via phone at 551-996-8090 and via fax at 551-996-8221.

Provider Profile Details

NPI Number
1851392252
Provider Name
Kevin R Basralian
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
360 Essex St, Suite 403, Hackensack, NJ 07601-8550
Phone Number
551-996-8090
Fax Number
551-996-8221
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
August 9, 2005
Last Update Date
December 16, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
360 Essex St
Suite 403
Hackensack, NJ 07601-8550
Zip
07601-8550
Phone Number
551-996-8090
Fax Number
551-996-8221
Hackensack, NJ 07601Get directions →

Provider Business Mailing Address Details

Address
360 Essex St
Suite 403
Hackensack, NJ 07601-8550
City
Hackensack
State
NJ
Zip
07601-8550
Phone Number
551-996-8090
Fax Number
551-996-8221

License Information

License Number
25MA04654700
License State
NJ
Taxonomy
Specialist · 174400000X · 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. Kevin R Basralian, MD?

The NPI number of Dr. Kevin R Basralian, MD is 1851392252. It was assigned on August 9, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Kevin R Basralian, MD?

Dr. Kevin R Basralian, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA04654700.

Where does Dr. Kevin R Basralian, MD practice?

The practice location is 360 Essex St, Suite 403, Hackensack, NJ 07601-8550. The office can be reached at 551-996-8090 (phone) or 551-996-8221 (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 1851392252 directly on the NPPES registry website.

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