MIHIR K BASU (NPI# 1548358690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548358690 |
| Entity Type | Individual |
| Full Name | MIHIR K BASU |
| Credential | MD |
| Practice Address |
7511 Bergenline Ave North Bergen NJ 07047-5459 |
| Mailing Address |
1211 White Plains Rd Bronx NY 10472-4900 |
| Practice Telephone | 2018680257 |
| Practice Fax Number | 2018680642 |
| Mailing Telephone | 7188286610 |
| Mailing Fax Number | 7188299132 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 131872 | NY | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 25MA03261900 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3063208 | 05 | |
| NY | 00242860 | 05 |
| Street Address |
7511 BERGENLINE AVE |
| City | NORTH BERGEN |
| State | NJ |
| Zip Code | 07047-5459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780734764 | General Health Clinic Management | Medical Genetics, Ph.D. Medical Genetics | 7511 Bergenline Ave, North Bergen, NJ 07047-5459 | 2007-01-11 |
| 1750688644 | General Health Group LLC | Internal Medicine | 7511 Bergenline Ave, North Bergen, NJ 07047-5459 | 2011-02-11 |
| 1548586019 | Premier Rehab-llc | Clinic/Center | 7511 Bergenline Ave, North Bergen, NJ 07047-5459 | 2010-04-08 |
| 1952547333 | Clinica Health Group LLC | Internal Medicine | 7511 Bergenline Ave, North Bergen, NJ 07047-5459 | 2009-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1639799646 | Red Oak Pharmacy Corp | Pharmacy | 9225 John F Kennedy Blvd, Unit F, North Bergen, NJ 07047 | 2020-04-20 |
| 1811520091 | Andres A Varilias | Pharmacist | 7917 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-02-17 |
| 1669016986 | Rebecca Lee | Dentist | 3123 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2019-10-30 |
| 1720648439 | Hannah Joy Guharajan | Speech-Language Pathologist | 5665 John F. Kennedy Blvd, Apt. 508, North Bergen, NJ 07047 | 2019-06-14 |
| 1417417080 | Chandini Sajja | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2019-03-20 |
| 1215455522 | Xavier Steven Alzate | Specialist/Technologist | 338 75th Street, 2b, North Bergen, NJ 07047 | 2017-09-07 |
| 1962923151 | Hala Altunji | Dentist | 8407 Jfk Blvd E, North Bergen, NJ 07047 | 2017-06-28 |
| 1871023457 | Diego Nieto | Specialist | 6112 Durham Ave, North Bergen, NJ 07047 | 2017-06-15 |
| 1326578105 | Hudson Hills Senior Living, LLC | Nursing Care | 3505 Bergen Tpke, North Bergen, NJ 07047 | 2017-06-14 |
| Find all providers in zip 07047 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184064347 | Tanmay Pradip Gosalia | Internal Medicine | 9225 John F Kennedy Boulevard, Summit Medical Arts, North Bergen, NJ 07047 | 2013-07-02 |
| 1265788053 | Ivan David Winter | Internal Medicine | 9226 Kennedy Blvd Fl 2, North Bergen, NJ 07047-5312 | 2012-07-30 |
| 1528188604 | Elsayed Sahloul Md PC | Internal Medicine | 500 78th St, 2nd Fl, North Bergen, NJ 07047-4927 | 2007-03-30 |
| 1598832016 | Eduardo Montes | Internal Medicine | 8701 Bergenline Ave, North Bergen, NJ 07047-5252 | 2006-11-29 |
| 1982785085 | Maher Badri | Internal Medicine | 8915 Bergenwood Ave, Suite # 3, North Bergen, NJ 07047-5349 | 2006-10-17 |
| 1770693566 | Munir A Hasan | Internal Medicine | 7617 Kennedy Boulevard, North Bergen, NJ 07047-4024 | 2006-08-30 |
| 1558475087 | Palisades Medical Associates LLC | Internal Medicine | 6045 Kennedy Blvd, Pma, North Bergen, NJ 07047-3246 | 2006-08-19 |
| 1891741344 | Surender M Rastogi | Internal Medicine | 8306 Kennedy Blvd, North Bergen, NJ 07047-4264 | 2006-05-26 |
| 1417947748 | Dennis Hughes Kelly IIi | Internal Medicine | 7704 Marine Rd, North Bergen, NJ 07047-6203 | 2005-10-27 |
| 1750371290 | Mark S Gabelman | Internal Medicine | 1 Marine Plz, Suite 210, North Bergen, NJ 07047-6238 | 2005-10-26 |
| Find all providers in NORTH BERGEN | ||||
| City | NORTH BERGEN |
| Zip Code | 07047 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.