| Dr Jayati Basak, MD | |
|
1608 Lemoine Ave, Fort Lee, NJ 07024-5622 | |
| (201) 346-1112 | |
| Not Available |
| Full Name | Dr Jayati Basak |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 1608 Lemoine Ave, Fort Lee, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720155518 | NPI | - | NPPES |
| 0875708 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MA44176 (New Jersey) | Primary |
| Entity Name | Pain Management Institute Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780989087 PECOS PAC ID: 0042265969 Enrollment ID: O20050314000865 |
| Entity Name | Leonid Lamper Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659687903 PECOS PAC ID: 7810186863 Enrollment ID: O20110106000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jayati Basak, MD 208 Bennington Ter, Paramus, NJ 07652-1334 Ph: (201) 845-7721 | Dr Jayati Basak, MD 1608 Lemoine Ave, Fort Lee, NJ 07024-5622 Ph: (201) 346-1112 |
Daniel Eskinazi, Anesthesiology Medicare: Medicare Enrolled Practice Location: Po Box 146, Fort Lee, NJ 07024 Phone: 201-592-7246 | |
Dr. Andrew Donguk Nam, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1608 Lemoine Ave Ste 203, Fort Lee, NJ 07024 Phone: 201-944-8400 |