Dr. Matthew E Bassan, DO
Family Medicine, Sports Medicine in Wayne, New Jersey
1881019594- Practice location
- 330 Ratzer RD Ste B7, Wayne, NJ 07470-7704
- Phone
- 973-317-0155
- Fax
- 973-317-0149
- Last updated
- September 4, 2020
Matthew Evan Bassan is a Family Medicine, Sports Medicine based in Wayne, NJ. Matthew Evan Bassan practices in Wayne, NJ and has the professional credentials of DO. The NPI Number for Matthew Evan Bassan is 1881019594 and holds a License No. 25MB09755400 (NJ). The current practice location address for Matthew Evan Bassan is 330 Ratzer RD Ste B7, Wayne, NJ 07470-7704 and can be reached out via phone at 973-317-0155 and via fax at 973-317-0149.
Provider Profile Details
- NPI Number
- 1881019594
- Provider Name
- Matthew Evan Bassan
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 330 Ratzer RD Ste B7, Wayne, NJ 07470-7704
- Phone Number
- 973-317-0155
- Fax Number
- 973-317-0149
- Primary Taxonomy
- Family Medicine, Sports Medicine · 207QS0010X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 4, 2014
- Last Update Date
- September 4, 2020
- Certification Date
- September 4, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 330 Ratzer RD Ste B7
Wayne, NJ 07470-7704 - City
- Wayne
- State
- New Jersey
- Zip
- 07470-7704
- Phone Number
- 973-317-0155
- Fax Number
- 973-317-0149
Provider Business Mailing Address Details
- Address
- Po Box 416457
Boston, MA 02241-6457 - City
- Boston
- State
- MA
- Zip
- 02241-6457
- Phone Number
- 844-362-1735
- Fax Number
- 973-290-7495
License Information
- License Number (1)
- 25MB09755400
- License State (1)
- NJ
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 25MB09755400
- License State (2)
- NJ
- Taxonomy (2)
- Family Medicine, Sports Medicine · 207QS0010X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Matthew E Bassan, DO?
The NPI number of Dr. Matthew E Bassan, DO is 1881019594. It was assigned on March 4, 2014 and is currently active in the NPPES registry.
What is the specialty of Dr. Matthew E Bassan, DO?
Dr. Matthew E Bassan, DO is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in NJ under license number 25MB09755400.
Where does Dr. Matthew E Bassan, DO practice?
The practice location is 330 Ratzer RD Ste B7, Wayne, NJ 07470-7704. The office can be reached at 973-317-0155 (phone) or 973-317-0149 (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 1881019594 directly on the NPPES registry website.