JONATHAN RICHARD BASS DO
NPI 1801539333
Student in an Organized Health Care Education/Training Program in West Islip, NY

Active since April 13, 2022PECOS EnrolledAccepts Medicare Assignment
1000 MONTAUK HWY, WEST ISLIP, NY 11795(631) 376-3000(631) 376-3420 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Richard Bass Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN RICHARD BASS DO (NPI 1801539333) is an individual student in an organized health care education/training program in West Islip, New York and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1801539333
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN RICHARD BASSCredential: DO
Location Address1000 MONTAUK HWYWest Islip, NY 11795-4927
Mailing Address1000 Montauk HwyWest Islip, NY 11795-4927 · Fax (631) 376-3420
Fax(631) 376-3420
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 13, 2022
NPPES CertifiedApril 13, 2022
NPI 1801539333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 MONTAUK HWY, West Islip, NY 11795

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jonathan Richard Bass Do 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.

PECOS PAC ID7517474877
PECOS Enrollment IDI20250730002515
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Emergency Medicine
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Anesthesiology
1000 MONTAUK HWY, GOOD SAMARITAN HOSPITAL MEDICAL CENTER
WEST ISLIP, NY 11795
Internal Medicine
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Physician Assistant
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Registered Nurse
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HWY
WEST ISLIP, NY 11795

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 Jonathan Bass's NPI number?

The NPI number for Jonathan Bass is 1801539333. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Jonathan Bass located?

Jonathan Bass practices at 1000 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 376-3000.

What is Jonathan Bass's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jonathan Bass enrolled in Medicare?

Yes. Jonathan Bass 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.

Is Jonathan Bass affiliated with any hospitals?

According to CMS data, Jonathan Bass is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Bass was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.