Individual
DR. JAIME A BASTIDAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
244 ROSEBERRY ST., SUITE #5, PHILLIPSBURG, NJ 08865
(908) 454-1704
(908) 454-1706
Mailing address
244 ROSEBERRY ST., SUITE #5, PHILLIPSBURG, NJ 08865
(908) 454-1704
(908) 454-1706
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA07689900
NJ
174400000X
Specialist
MD422370
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
25MA07689900
NJ
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD422370
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073750
MEDICARE PTAN
PA
01
—
074448UK1
MEDICARE PTAN
NJ
01
—
074448ZH1E
MEDICARE PTAN
NJ
Enumeration date
09/02/2006
Last updated
08/07/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us