RONALD G. BASALYGA M.D. PC NPI 1053501700

NPI Information

NPI: 1053501700
Provider Name: RONALD G. BASALYGA, M.D. PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address: 4711 PINECREST TER
EDEN, NY
ZIP 14057
Phone: (716) 649-5188

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NPI Details

RONALD G. BASALYGA, M.D. PC is a specialist in Eden, NY. The provider is 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. RONALD G. BASALYGA, M.D. PC NPI is 1053501700. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4711 PINECREST TER
EDEN, NY
ZIP 14057-757
Phone: (716) 649-5188
Fax: (716) 649-5188

The provider's authorized official is Ronald G. Basalyga .
The authorized official title is President and has the following contact phone number (716) 649-5188.

The enumeration date for this NPI number is 7/30/2007 and was last updated on 7/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		095710	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2308442	OTHER	NEW YORK	HMO
2	00010011502	OTHER	NEW YORK	HMO
3	AA1447	OTHER	NEW YORK	PC MEDICARE ID #
4	00591846	MEDICAID	NEW YORK
5	DD 3550	MEDICARE PIN	NEW YORK
6	1225240609	OTHER	NEW YORK	MD NPI #
7	DD3550	OTHER	NEW YORK	MD-MEDICARE ID #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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