Individual
JOSEPH BASILONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
776 SHREWSBURY AVE, SUITE 203, TINTON FALLS, NJ 07724-3006
(732) 219-0333
(732) 219-6526
Mailing address
776 SHREWSBURY AVE, SUITE 203, TINTON FALLS, NJ 07724-3006
(732) 219-0333
(732) 219-6526
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
189863-1
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA06235300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0778591
CIGNA
—
01
—
1381010
UNITED HEALTHCARE
—
01
—
1K0329
HEALTHNET
—
01
—
223387480001
SBSHP
—
01
—
26Z741
EMPIRE BCBS
—
01
—
44J52
EMPIRE HEALTH CARE
—
01
—
5218141
AETNA
—
01
—
6012036
GHI
—
01
—
P00210688
RR MEDICARE
—
01
—
P1947080
OXFORD
—
Enumeration date
06/29/2006
Last updated
07/08/2007
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