Provider Demographics
NPI:1831650555
Name:BASSIN, SANDHYA (MD)
Entity type:Individual
Prefix:
First Name:SANDHYA
Middle Name:
Last Name:BASSIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SANDHYA
Other - Middle Name:
Other - Last Name:RAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14 WOODWARD DR STE A
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3374
Mailing Address - Country:US
Mailing Address - Phone:732-334-5800
Mailing Address - Fax:732-360-4888
Practice Address - Street 1:14 WOODWARD DR STE A
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3374
Practice Address - Country:US
Practice Address - Phone:732-334-5800
Practice Address - Fax:732-360-4888
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY316603207RE0101X
NJ25MA12205300207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism