Basak, Jayati
Basak, Jayati is an individual health care provider with primary practice located at 1608 Lemoine Ave , Fort Lee NJ 07024-5622. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Basak, Jayati can be contacted via phone (201) 346-1112.Contact Information
Primary practice address
1608 Lemoine Ave
Fort Lee NJ 07024-5622
Phone: (201) 346-1112
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MA44176 | New Jersey |
Profile Details
| NPI number | 1720155518 |
|---|---|
| LBN Legal business name | Basak, Jayati |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720155518 | NPPES |
| New Jersey | MEDICAID | 0875708 |
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