DR. MATTHEW EVAN BASSAN (NPI# 1881019594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881019594 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW EVAN BASSAN |
| Credential | D.O. |
| Practice Address |
330 Ratzer Rd Ste B7 Wayne NJ 07470-7704 |
| Mailing Address |
Po Box 416457 Boston MA 02241-6457 |
| Practice Telephone | 9733170155 |
| Practice Fax Number | 9733170149 |
| Mailing Telephone | 8443621735 |
| Mailing Fax Number | 9732907495 |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2020-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 25MB09755400 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
25MB09755400 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
330 RATZER RD STE B7 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-7704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801270095 | Matthew Parisi | Family Medicine | 186 County Road 520 Ste 3, Morganville, NJ 07751-1246 | 2015-07-17 |
| 1679991145 | Jason Anthony Krystofiak | Family Medicine | 200 S Orange Ave Ste 118, Livingston, NJ 07039-5817 | 2014-04-02 |
| 1629419163 | Sports Management Institute LLC | Family Medicine | 14-20 Watsessing Ave, Bloomfield, NJ 07003-4611 | 2013-07-12 |
| 1134564768 | Christopher Chong | Family Medicine | 1 Brace Rd Ste B5, Cherry Hill, NJ 08034-2600 | 2013-05-09 |
| 1700221561 | Elad Tennen | Family Medicine | 2315 Highway 34 Ste D, Manasquan, NJ 08736-1444 | 2013-05-07 |
| 1154642486 | Melissa Mascaro | Family Medicine | 1 Bay Ave Fl 3, Montclair, NJ 07042-4837 | 2010-06-22 |
| 1649430109 | Bryan Richard Barrett | Family Medicine | 2500 English Creek Ave Ste 909, Egg Harbor Township, NJ 08234-5587 | 2008-06-09 |
| 1477723245 | Lourdes Medical Associates, Pa | Family Medicine | 728 Marne Hwy Ste 100c, Moorestown, NJ 08057-3128 | 2008-03-07 |
| 1437332749 | New Jersey Sports Medicine and Performance Center LLC | Family Medicine | 689 Valley Rd Ste 104, Gillette, NJ 07933-1906 | 2007-12-10 |
| 1801010723 | Thomas W Plut | Family Medicine | 728 Marne Hwy Ste 100c-3, Moorestown, NJ 08057-3128 | 2007-04-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MATTHEW EVAN BASSAN.
| 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.