Kevin R Basralian in Hackensack - Specialist
Kevin R Basralian - NPI 1851392252
Kevin R Basralian is a Specialist in Hackensack, New Jersey. Kevin R Basralian practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kevin R Basralian is 1851392252. The last update date is 2014-12-16.
Kevin R Basralian's current location address is 360 Essex St, Hackensack, New Jersey. You can contact this provider via phone number 5519968090 and fax number 5519968221. The mailing address for Kevin R Basralian is 360 Essex St, Hackensack, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin R Basralian |
|---|---|
| Address | 360 Essex St, Hackensack, New Jersey |
| Phone Number | 5519968090 |
| Fax Number | 5519968221 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1851392252 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2014-12-16 |
Provider Mailing Address Detail
| Address | 360 Essex St |
|---|---|
| City | Hackensack |
| State | New Jersey (NJ) |
| Post Code | 76018550 |
| Phone Number | 5519968090 |
| Fax Number | 5519968221 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 25MA04654700 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 457763 | NJ | AETNA HMO ID # | |
| 80D693 | NJ | BC/BS NY (HACKENSACK) # | |
| 4239813 | NJ | AETNA PPO ID # | |
| BS138 | NJ | OXFORD ID # | |
| 1211200 | NJ | -- | |
| 5S1641 | NJ | BCBS NY CARLSTADT | |
| 103347000 | NJ | AMERIHEALTH HMO ID # | |
| 340001947 | NJ | RAILROAD MDCR # |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kevin R Basralian by the Centers for Medicare & Medicaid Services?
The Kevin R Basralian has been assigned the NPI (National Provider Identifier) 1851392252 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Kevin R Basralian is physically located?
The Kevin R Basralian is situated at the following address: 360 Essex St, Hackensack, NJ 76018550.
What is the Kevin R Basralian's specialty and taxonomy code?
The Kevin R Basralian's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date was the 1851392252 assigned to Kevin R Basralian?
The Kevin R Basralian was issued its 1851392252 on 2005-08-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kevin R Basralian last refreshed?
The information related to the Kevin R Basralian, including its address, specialty, and other relevant details, was last updated on 2014-12-16.