MRS. RENJINI RAJU BASIL
NPI 1790056182
Nurse Practitioner - Family in Bergenfield, NJ
About Mrs. Renjini Raju Basil NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. RENJINI RAJU BASIL (NPI 1790056182) is an individual family provider in Bergenfield, New Jersey, licensed in New Jersey (26NJ00360600) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Renjini Raju Basil is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Renjini Basil reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Caldwell, NJ 07006
- Reassigned Medicare billing, New Jersey enrollment
- 15 clinicians in this Medicare group
Parsippany, NJ 07054
- Reassigned Medicare billing, New Jersey enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Renjini Basil's NPI number?
The NPI number for Renjini Basil is 1790056182. It was assigned to this individual provider in the NPPES registry on January 18, 2012.
Where is Renjini Basil located?
Renjini Basil practices at 202 Howard Drive Apt # I, Bergenfield, NJ 07621. The listed phone number is (201) 385-0538.
What is Renjini Basil's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Renjini Basil enrolled in Medicare?
Yes. Renjini Basil is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Renjini Basil's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Renjini Basil reassigns Medicare benefits to 2 organizations: (West Caldwell, NJ) and Main Street Medical Providers LLC (Parsippany, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Renjini Basil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Renjini Basil was last updated on January 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Renjini Raju Basil · NPI 1790056182
Family physician in Bergenfield, New Jersey. Individual provider, active in the CMS NPPES registry since January 18, 2012.
## Identity
- **NPI:** 1790056182 (Entity type: Individual)
- **Enumerated:** January 18, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ00360600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 202 HOWARD DRIVE, APT # I, Bergenfield, NJ 07621
- **Phone:** (201) 385-0538
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): (NPI 1326059320, West Caldwell, NJ); Main Street Medical Providers LLC (NPI 1790497444, Parsippany, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** January 18, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1790056182) · Data from the CMS NPPES public registry.