Active NPIIndividual providerSole proprietor

Dr. Crystal T Bass, MD

Pediatrics, Neonatal-Perinatal Medicine in Pomona, New Jersey

NPI Number1851655062
Practice location
65 W Jimmie Leeds RD, Pomona, NJ 08240-9102
Fax
609-404-3818
Last updated
July 9, 2021

Crystal Theresa Bass is a Pediatrics, Neonatal-Perinatal Medicine based in Pomona, NJ. Crystal Theresa Bass practices in Pomona, NJ and has the professional credentials of MD. The NPI Number for Crystal Theresa Bass is 1851655062 and holds a License No. 25MA10347500 (NJ). The current practice location address for Crystal Theresa Bass is 65 W Jimmie Leeds RD, Pomona, NJ 08240-9102 and can be reached out via phone at 609-404-3817 and via fax at 609-404-3818.

Provider Profile Details

NPI Number
1851655062
Provider Name
Crystal Theresa Bass
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
65 W Jimmie Leeds RD, Pomona, NJ 08240-9102
Phone Number
609-404-3817
Fax Number
609-404-3818
Primary Taxonomy
Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X
Sole Proprietor
Yes
Provider Enumeration Date
July 2, 2012
Last Update Date
July 9, 2021
Certification Date
July 9, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 W Jimmie Leeds RD
Pomona, NJ 08240-9102
City
Pomona
Zip
08240-9102
Phone Number
609-404-3817
Fax Number
609-404-3818
Pomona, NJ 08240Get directions →

Provider Business Mailing Address Details

Address
65 W Jimmie Leeds RD
Pomona, NJ 08240-9102
City
Pomona
State
NJ
Zip
08240-9102
Phone Number
609-404-3817
Fax Number
609-404-3818

License Information

License Number
25MA10347500
License State
NJ
Taxonomy
Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X · 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. Crystal T Bass, MD?

The NPI number of Dr. Crystal T Bass, MD is 1851655062. It was assigned on July 2, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Crystal T Bass, MD?

Dr. Crystal T Bass, MD is registered under the primary taxonomy Pediatrics, Neonatal-Perinatal Medicine (code 2080N0001X), licensed in NJ under license number 25MA10347500.

Where does Dr. Crystal T Bass, MD practice?

The practice location is 65 W Jimmie Leeds RD, Pomona, NJ 08240-9102. The office can be reached at 609-404-3817 (phone) or 609-404-3818 (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 1851655062 directly on the NPPES registry website.

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