MEDICARE: DR. JOHN M. BASHANT D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	224134	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912908195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN M. BASHANT D.O.

Provider Business Mailing Address
First Line	:	PO BOX 14890
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12212-4890
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 PALISADES DRIVE SUITE 200
Second Line	:	ST. PETER'S INTERNAL MEDICINE
City	:	ALBANY
State	:	NY
Zip	:	12205-6433
Country	:	US
Telephone Number	:	518-438-0019
Fax Number	:	518-438-0299

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	05/06/2021

Similar Medicare Providers

1124426424 — MEAGAN JEAN GOFF ACNP-BC
Practice Location Address:

5 PALISADES DR , SUITE 100
ALBANY, NY
12205-6433

Practice Phone: 518-438-4996
Practice Fax: 518-438-5803

1982085973 — AKINTUNDE MIKE AKINJERO M.D
Practice Location Address:

5 PALISADES DR STE 100
ALBANY, NY
12205-6433

Practice Phone: 518-438-4496
Practice Fax: 518-438-5803

1306846274 — DENNIS A GORT MD
Practice Location Address:

5 PALISADES DR , SUITE 100
ALBANY, NY
12205-6433

Practice Phone: 518-438-4496
Practice Fax: 518-438-5803

1538169404 — MICHAEL NAKAO MD
Practice Location Address:

5 PALISADES DR , STE 100
ALBANY, NY
12205-6433

Practice Phone: 518-438-4496
Practice Fax: 518-438-5803

1427058320 — DAVID S PALAT MD
Practice Location Address:

5 PALISADES DR , STE 100
ALBANY, NY
12205-6433

Practice Phone: 518-438-4496
Practice Fax: 518-438-5803

1467453845 — DR. FRANCIS J CULLEN MD
Practice Location Address:

5 PALISADES DR , SUITE 110
ALBANY, NY
12205-6433

Practice Phone: 518-482-7880
Practice Fax: 518-482-7882

Directions to “ DR. JOHN M. BASHANT D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.