JOSE BASTIDAS (NPI# 1578104642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578104642 |
| Entity Type | Individual |
| Full Name | JOSE BASTIDAS |
| Credential | PA |
| Practice Address |
2015 Grand Concourse Bronx NY 10453-4303 |
| Mailing Address |
1434 Williamsbridge Rd Bronx NY 10461-2507 |
| Practice Telephone | 7182997294 |
| Practice Fax Number | 7182996797 |
| Mailing Telephone | 7186180401 |
| Mailing Fax Number | 3474791303 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 024304 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487756292 | Jose Alberto Bastidas | Specialist | 3735 Easton Nazareth Hwy, Suite 302, Easton, PA 18045-8338 | 2006-09-02 |
| Street Address |
2015 GRAND CONCOURSE |
| City | BRONX |
| State | NY |
| Zip Code | 10453-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680389 | Lewis Rogatnick | General Practice | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2005-06-28 |
| 1750982807 | Muhammad Imran Mir | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-11-05 |
| 1841890712 | Enerolisa Paredes | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-29 |
| 1174123574 | Harriet Adwoa Yeboah | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-27 |
| 1386244663 | Kimberly Harrison | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-27 |
| 1992304604 | Angelique Saavedra | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-23 |
| 1528667847 | Isabel Acosta | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-19 |
| 1639776388 | Chelsea Onuorah | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-06 |
| 1356948434 | Franciou Philippeau | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-02 |
| 1023625639 | Anisa Philia Nervais | Registered Nurse | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553225 | Victor Felipe | Occupational Therapist | 2042 Grand Avenue, Apartment 2d, Ny, Apt 2d, Bronx, NY 10453 | 2020-09-17 |
| 1033745849 | Jennifer Vargas | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-03-13 |
| 1457985038 | John Steven Contreras | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-02-24 |
| 1538799648 | Ari Warshawsky | Counselor | Postgraduate Center for Mental Health, 1775 Grand Concourse, 8th Floor, Bronx, NY 10453 | 2020-01-17 |
| 1407403413 | Cristaly Williams | Behavioral Analyst | 2105 Jerome Avenue, Bronx, NY 10453 | 2019-08-23 |
| 1770041204 | Yei Won Lee | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dental Dept, 1775 Grand Concourse, 6th Floor, Bronx, NY 10453 | 2019-03-04 |
| 1265905517 | William Alexander Jones Jr. | Behavior Technician | 1749grand Concourse, 1749 Grand Concourse Apt Ph8, Bronx, NY 10453 | 2019-01-09 |
| 1154810737 | Emily Patricia Mitchell | Occupational Therapist | 2105 Jerome Ave, Bronx, NY 10453 | 2018-05-09 |
| 1417445149 | Ashna N Shah | Student in an Organized Health Care Education/Training Program | Bronx Lebanon Hospital Center 6 Th Floor, 1775 Grand Concourse, Bronx, NY 10453 | 2018-04-27 |
| 1700384328 | Kevin Ponce Obate | Physical Therapist | 1975 University Ave, Bronx, NY 10453 | 2018-01-29 |
| Find all providers in zip 10453 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242319 | Leonard Ohene Takyi | Physician Assistant | 4180 Hutchinson River Pkwy E Apt 8c, Bronx, NY 10475-4826 | 2019-12-16 |
| 1669018032 | Natasha Kodua | Physician Assistant | 140 Asch Loop Apt 9e, Bronx, NY 10475-4040 | 2019-11-20 |
| 1073158010 | Abdoulaye Diallo | Physician Assistant | 1223 Tinton Ave Fl 3, Bronx, NY 10456-3673 | 2019-11-13 |
| 1538703954 | Frank Owusu | Physician Assistant | 500 E 165th St Apt 2e, Bronx, NY 10456-6658 | 2019-10-29 |
| 1629534649 | David A Rivera | Physician Assistant | 2105 Cruger Ave Apt 3g, Bronx, NY 10462-2363 | 2019-02-14 |
| 1679037980 | Ryan Patrick Garrow | Physician Assistant | 1200 Waters Pl Ste M108, Bronx, NY 10461-0367 | 2019-01-31 |
| 1336603331 | Joseph A Sanchez | Physician Assistant | 6 Ploughmans Bush, Bronx, NY 10471-3541 | 2019-01-24 |
| 1639651581 | Aaron Sosa | Physician Assistant | Tower 1, 1250 Waters Pl 11th Fl, Bronx, NY 10461 | 2018-09-06 |
| 1275032542 | Ahmed Mahir | Physician Assistant | 32 Westchester Sq, Bronx, NY 10461-3514 | 2018-02-01 |
| 1730601113 | Alexandra Taylor Martin | Physician Assistant | 661 King Avenue, Bronx, NY 10464 | 2017-07-07 |
| Find all providers in BRONX | ||||
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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.