DR. JACK BASTOW


Address: 4 Palisades Dr, Suite 250a, Albany, NY 12205-1443
Phone: 5184581771

DR. JACK BASTOW (NPI# 1881621423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881621423
Entity Type Individual
Full Name DR. JACK BASTOW
Credential DPM
Practice Address 4 Palisades Dr
Suite 250a
Albany
NY 12205-1443
Practice Telephone 5184581771
Practice Fax Number 5184597682
Mailing Telephone 5184581771
Mailing Fax Number 5184597682
Enumeration Date 2006-06-27
Last Update Date 2009-01-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0131X Podiatrist
Specialization: Foot Surgery
003886 NY Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 4 PALISADES DR
SUITE 250A
City ALBANY
State NY
Zip Code 12205-1443

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205828316 Ara Kayayan Internal Medicine 4 Palisades Dr, Suite 100, Albany, NY 12205-1443 2005-08-16
1265824478 Hudson Valley Foot Associates, LLP Podiatrist 4 Palisades Dr, Suite 250a, Albany, NY 12205-1449 2015-02-25
1083031983 St. Peter's Health Partners Medical Associates, PC Nurse Practitioner 4 Palisades Dr, Suite 200a, Albany, NY 12205-1443 2014-03-28
1922343524 St Peters Health Partners Medical Associates, PC Internal Medicine 4 Palisades Dr, Suite 150, Albany, NY 12205-1443 2012-12-07
1740525344 St Peters Health Partners Medical Associates, PC Internal Medicine 4 Palisades Dr, Sutie 250, Albany, NY 12205-1443 2012-12-07
1083834097 Prime Care Physicians, P.l.l.c. Internal Medicine 4 Palisades Dr, Suite 100, Albany, NY 12205-1443 2007-05-01
1891915807 Prime Care Physicians, P.l.l.c. Nurse Practitioner 4 Palisades Dr, Suite 250, Albany, NY 12205-1443 2007-05-01
1336260157 Therese M. Khoury Physician Assistant 4 Palisades Dr, Suite 100, Albany, NY 12205-1443 2007-04-02
1740318237 Family Medical PC Family Medicine 4 Palisades Dr, Suite 130, Albany, NY 12205 2007-02-28
1770576399 Joseph Scott Baler Dermatology 4 Palisades Dr, Ste 240, Albany, NY 12205-1443 2005-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518564053 Capital Regional Rx LLC Pharmacy 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 2020-10-07
1548722549 The Alternative Living Group, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 500 New Karner Road, Suite 3, Albany, NY 12205 2019-04-01
1003398439 Sarah Itwaru Social Worker 401 New Karner Road, Albany, NY 12205 2018-09-01
1740708106 Kenneth Cook Physician Assistant 121everett Rd, Albany, NY 12205 2017-09-06
1437691839 Sarah Avery Physical Therapist 5 S Family Dr, Colonie, NY 12205 2016-11-16
1063892776 Olsen Medical Sales, LLC Durable Medical Equipment & Medical Supplies 98 Everett Rd, Albany, NY 12205 2015-06-08
1972921484 Alixandra Joy Foisy Social Worker 42 Oakwood Dr, Albany, NY 12205 2014-04-01
1780015206 The Promptcare Companies Durable Medical Equipment & Medical Supplies 1015c Central Avenue, Albany, NY 12205 2013-12-09
1396088332 Early Childhood Education Center Day Training, Developmentally Disabled Services 251 Washington Ave Extension, Albany, NY 12205 2013-03-28
1487906707 Centerfordisabiltyservices Preferred Provider Organization 5 Keller Street, Albany, NY 12205 2012-10-10
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Taxonomy Information

Taxonomy Code 213ES0131X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346347432 Brian Douglas Ashdown Podiatrist 2605 Willetta St Sw Ste D2, Albany, OR 97321-3451 2006-09-20
1225540248 Mark Brian Friedman, Dpm, Pllc Podiatrist 6 Executive Park Dr, Albany, NY 12203-3791 2017-10-31
1073796967 Mark Brian Friedman, Dpm, Pllc Podiatrist 6 Executive Park Dr, Albany, NY 12203-3791 2007-12-13
1194736496 Mark Duane Lentini Podiatrist 1971 Western Ave, Albany, NY 12203-5066 2006-08-11
1114978038 Capital Region Foot Care Pllc Podiatrist 104 Hackett Blvd, Albany, NY 12209-1525 2006-05-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376159756 West Side Foot Group, L.l.p. Podiatrist 244 W 54th St Fl 10, New York, NY 10019-5597 2020-09-21
1740815836 Ernest L Isaacson Dpm PC Podiatrist 4 Technology Dr Ste 110, East Setauket, NY 11733-4068 2020-03-09
1619502242 Westhampton Beach Podiatry P.C. Podiatrist 70 C Old Riverhead Road, Westhampton Beach, NY 11978 2020-03-04
1568025641 Afsana Qader, Dpm P.c Podiatrist 182 Martine Ave, White Plains, NY 10601-3305 2019-04-15
1396233664 Dr. Mariola Rivera Podiatry, Pllc Podiatrist 10 Mitchell Pl Ste 105, White Plains, NY 10601-4300 2018-04-23
1457856403 Bgy Podiatry PC Podiatrist 9810 64th Ave Apt Gb, Rego Park, NY 11374-2501 2018-03-29
1184135568 Active Podiatry Pllc Podiatrist 149 Marine Ave Apt La, Brooklyn, NY 11209-7712 2017-10-12
1730623869 Westside Podiatry Group Podiatrist 507 Beahan Rd, Rochester, NY 14624-3403 2016-12-08
1386191203 Comprehensive Podiatric Foot Care Pllc Podiatrist 88-34 161th Street, Jamaica, NY 11432-4040 2016-09-08
1104277185 Zhi Q Huang Podiatrist 2130 E 24th St, First Floor, Brooklyn, NY 11229-4902 2016-06-30
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Competitor

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City ALBANY
Zip Code 12205

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Dataset Information

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.

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