MR. SUSHIL KUMAR BASRA (NPI# 1295948115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295948115 |
| Entity Type | Individual |
| Full Name | MR. SUSHIL KUMAR BASRA |
| Credential | MD |
| Practice Address |
763 Larkfield Rd 2nd Floor Commack NY 11725-3131 |
| Practice Telephone | 6314622225 |
| Practice Fax Number | 6314622240 |
| Mailing Telephone | 6314622225 |
| Mailing Fax Number | 6314622240 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2011-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
257883 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
763 LARKFIELD RD 2ND FLOOR |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235116179 | Bab Nuclear Radiology, PC | Clinic/Center | 763 Larkfield Rd, Commack, NY 11725-3100 | 2005-12-30 |
| 1336684281 | Angela Monaco | Physical Therapist | 763 Larkfield Rd, Suite 101, Commack, NY 11725-3131 | 2017-01-02 |
| 1558750265 | Dorothy Porter | Specialist/Technologist, Other | 763 Larkfield Rd, Ste 202, Commack, NY 11725-3131 | 2015-01-19 |
| 1861818155 | Stefanos Pnevmatikos | Specialist/Technologist, Other | 763 Larkfield Rd, Suite 202, Commack, NY 11725 | 2014-03-11 |
| 1760808059 | Melissa Sandezer | Specialist/Technologist, Other | 763 Larkfield Rd, Ste 202, Commack, NY 11725 | 2014-03-11 |
| 1336405299 | Hand On Health Care | Mechanotherapist | 763 Larkfield Rd, Commack, NY 11725-3131 | 2012-04-04 |
| 1376818039 | Vito Fodera | Radiology | 763 Larkfield Rd, Commack, NY 11725-3131 | 2012-03-14 |
| 1548543044 | Chris Prentiss Physical Therapy PC | Specialist | 763 Larkfield Rd, Suite 101, Commack, NY 11725-3131 | 2011-09-21 |
| 1811288483 | Insight Medical Diagnostics, PC | Clinic/Center | 763 Larkfield Rd, Commack, NY 11725-3131 | 2011-04-29 |
| 1225337595 | Daniel Choi | Orthopaedic Surgery | 763 Larkfield Rd, Commack, NY 11725-3131 | 2011-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225337595 | Daniel Choi | Orthopaedic Surgery | 763 Larkfield Rd, Commack, NY 11725-3131 | 2011-03-25 |
| 1043390917 | Christopher D. Frendo | Orthopaedic Surgery | 763 Larkfield Rd, Commack, NY 11725-3131 | 2006-10-16 |
| 1336163344 | Thomas Joseph Dowling Jr. | Orthopaedic Surgery | 763 Larkfield Rd, 2nd Floor, Commack, NY 11725-3131 | 2006-07-26 |
| 1326062332 | Laurence Eric Mermelstein | Orthopaedic Surgery | 763 Larkfield Rd, 2nd Floor, Commack, NY 11725-3131 | 2006-07-26 |
| 1265453104 | Hargovind Singh Dewal | Orthopaedic Surgery | 763 Larkfield Rd, 2nd Floor, Commack, NY 11725-3131 | 2006-07-23 |
| 1245251198 | Long Island Spine Specialists PC | Orthopaedic Surgery | 763 Larkfield Rd, 2nd Floor, Commack, NY 11725-3131 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427442 | Medical Wellness Practice Pllc | Orthopaedic Surgery | 554 Tompkins Ave, Staten Island, NY 10305-1745 | 2020-11-03 |
| 1235691379 | Sny Care of Ny, LLC | Orthopaedic Surgery | 1131 Route 55 Ste 1a, Lagrangeville, NY 12540-5054 | 2019-04-05 |
| 1366903676 | Spine Health Orthopaedics PC | Orthopaedic Surgery | 110 Duane St, New York, NY 10007-1126 | 2019-03-28 |
| 1902388259 | Han Jo Kim Md PC | Orthopaedic Surgery | 541 E 71st St Fl 4, New York, NY 10021-4871 | 2018-09-04 |
| 1073011342 | Joint Replacement Cin of Manhattan LLC | Orthopaedic Surgery | 420 Lexington Ave Rm 300, New York, NY 10170-0399 | 2018-01-31 |
| 1871001750 | Spine Cin of Buffalo LLC | Orthopaedic Surgery | 3725a Walden Ave, Lancaster, NY 14086-1405 | 2018-01-13 |
| 1972011856 | Spine Cin of Hudson Valley LLC | Orthopaedic Surgery | 1131 Route 55 # 1a, Lagrangeville, NY 12540-5054 | 2018-01-13 |
| 1699283572 | Joint Replacement Cin of Hudson Valley LLC | Orthopaedic Surgery | 1131 Route 55 # 1b, Lagrangeville, NY 12540-5054 | 2018-01-13 |
| 1780071548 | Island Musculoskeletal Care Md PC | Orthopaedic Surgery | 10825 Jamaica Ave, Richmond Hill, NY 11418-2243 | 2015-04-20 |
| 1578990669 | Joseph Sae Hyun Pyun | Orthopaedic Surgery | 506 5th Ave, #2ff, Brooklyn, NY 11215-4812 | 2013-10-03 |
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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.