DR. JAIME A BASTIDAS M.D. NPI 1992807705

NPI Information

  • NPI: 1992807705
  • Provider Name: DR. JAIME A BASTIDAS, M.D.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 244 ROSEBERRY ST.
    SUITE #5
    PHILLIPSBURG, NJ
    ZIP 08865
  • Phone: (908) 454-1704

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NPI Details

DR. Jaime A Bastidas, M.D. is a plastic and reconstructive surgery surgery in Phillipsburg, NJ. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Jaime A Bastidas, M.D. NPI is 1992807705. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

244 ROSEBERRY ST.
SUITE #5
PHILLIPSBURG, NJ
ZIP 08865
Phone: (908) 454-1704
Fax: (908) 454-1706

The NPI 1992807705 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Mastectomy (HCPCS:NAN04)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 9/2/2006 and was last updated on 8/7/2015.

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
1174400000XSpecialistMD422370PENNSYLVANIANo
2174400000XSpecialist25MA07689900NEW JERSEYNo
32086S0122XSurgeryPlastic and Reconstructive Surgery25MA07689900NEW JERSEYNo
42086S0122XSurgeryPlastic and Reconstructive SurgeryMD422370PENNSYLVANIAYes

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
1073750OTHERPENNSYLVANIAMEDICARE PTAN
2074448ZH1EOTHERNEW JERSEYMEDICARE PTAN
3074448UK1OTHERNEW JERSEYMEDICARE PTAN
4H95284MEDICARE UPINPENNSYLVANIA

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: 3/30/2025

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