DR. GAUTAM BHASIN (NPI# 1861058372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861058372 |
| Entity Type | Individual |
| Full Name | DR. GAUTAM BHASIN |
| Credential | PSYD |
| Practice Address |
242 Mason Ave Staten Island NY 10305-3408 |
| Practice Telephone | 7182266501 |
| Mailing Telephone | 7182266501 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
023210-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
242 MASON AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124001599 | Giovannie Jean-baptiste | Internal Medicine | 242 Mason Ave, Staten Island, NY 10305-3408 | 2005-11-21 |
| 1982018107 | Anna Shapiro | Audiologist | 242 Mason Ave, 1 Floor, Staten Island, NY 10305-3408 | 2014-06-16 |
| 1417254160 | Lydia Tripolsky | Pediatrics | 242 Mason Ave, Suite 1, Staten Island, NY 10305-3408 | 2011-02-15 |
| 1245545698 | Barry Lei | Occupational Therapist | 242 Mason Ave, Staten Island, NY 10305-3408 | 2010-08-10 |
| 1669783536 | Kimberly E Collins | Occupational Therapist | 242 Mason Ave, Staten Island, NY 10305-3408 | 2010-06-25 |
| 1932436854 | Mary Gundersen | Registered Nurse | 242 Mason Ave, Diabetes Education - 1st Floor, Staten Island, NY 10305-3408 | 2009-11-13 |
| 1306172689 | Jonathan Jacob Goldenthal | Pediatrics | 242 Mason Ave, Staten Island, NY 10305-3408 | 2009-10-21 |
| 1932343936 | Lydia Marty-meyerson | Nurse Practitioner | 242 Mason Ave, Staten Island, NY 10305-3408 | 2009-04-22 |
| 1023266111 | Judith Saltiel | Audiologist-Hearing Aid Fitter | 242 Mason Ave, Staten Island, NY 10305-3408 | 2008-09-03 |
| 1225286313 | Liat Azoulay | Audiologist-Hearing Aid Fitter | 242 Mason Ave, Staten Island, NY 10305-3408 | 2008-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780082032 | Christina Maria Stibely | Psychologist | 76 Boone St., Staten Island, NY 10301 | 2014-12-18 |
| 1225097082 | Rashmi Rastogi | Psychologist | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427680370 | Bonnie Marks | Psychologist | 411 E 53rd St Apt 15a, New York, NY 10022-5111 | 2020-02-09 |
| 1770135394 | Joyce Barbara Schenkein | Psychologist | 153 E 96th St Apt 2f, New York, NY 10128-2554 | 2019-07-13 |
| 1639695919 | Muchammat Nazmen Monir | Psychologist | 6823 5th Ave Fl 2, Brooklyn, NY 11220-6009 | 2017-08-17 |
| 1780040733 | Lantern Community Services, Inc. | Psychologist | 494 Eighth Avenue, 20th Floor, New York, NY 10001 | 2016-01-06 |
| 1215147731 | Nurlyne Louis | Psychologist | 697 E 58th St, Brooklyn, NY 11234-1004 | 2007-05-23 |
| 1003939547 | Richard J Schuster, Phd Psychologist P.C. | Psychologist | 4 Martine Ave, # 805, White Plains, NY 10606-4016 | 2007-04-09 |
| 1891858189 | Michelle Beth Harap | Psychologist | Fordham-tremont Cmhc - Ace Program, 2250 Ryer Ave, Bronx, NY 10457 | 2006-12-18 |
| 1801436746 | Elizabeth Canino | Psychologist | 240 E 38th St, New York, NY 10016-2708 | 2020-01-08 |
| 1679134944 | Keyonia S Stacks | Psychologist | 184 Eldridge St, New York, NY 10002-2924 | 2019-06-26 |
| 1710481353 | Erika Huston | Psychologist | 3524 83rd St, Jackson Heights, NY 11372-5229 | 2018-03-20 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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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.