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DR. CRYSTAL THERESA BASS M.D.
NPI 1851655062
Pediatrics - Neonatal-Perinatal Medicine in Pomona, NJ

Active since July 02, 2012PECOS Enrolled
65 W JIMMIE LEEDS RD, POMONA, NJ 08240(609) 404-3817(609) 404-3818 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Crystal Theresa Bass M.d. NPPES

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

DR. CRYSTAL THERESA BASS M.D. (NPI 1851655062) is an individual neonatal-perinatal medicine provider in Pomona, New Jersey, licensed in New Jersey (25MA10347500) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851655062
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. CRYSTAL THERESA BASSCredential: M.D.
Location Address65 W JIMMIE LEEDS RDPomona, NJ 08240-9102
Mailing Address65 W Jimmie Leeds RdPomona, NJ 08240-9102 · (609) 404-3817 · Fax (609) 404-3818
Phone(609) 404-3817
Fax(609) 404-3818
Sole ProprietorYes
Enumeration DateJuly 2, 2012
Last NPPES UpdateJuly 9, 2021
NPPES CertifiedJuly 9, 2021
✔ NPI 1851655062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NJ · 25MA10347500
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
65 W JIMMIE LEEDS RD, Pomona, NJ 08240
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Crystal Theresa Bass M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

COURTNEY PAIGE REED
Nurse Anesthetist, Certified Registered
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 335-8012
KLISA D. HARGROVE-LOPER CRNA
Nurse Anesthetist, Certified Registered
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 652-3444
JILLIAN ULLO
Nurse Practitioner (Family)
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 748-7089
ASHLEIGH BRY
Nurse Anesthetist, Certified Registered
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 652-1000
PHILLIP CAMPANELLA
Nurse Practitioner (Adult Health)
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 652-1000
ATLANTICARE REGIONAL MEDICAL CENTER
General Acute Care Hospital
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 652-1000
SUSAN SCHRENK CRNA
Nurse Anesthetist, Certified Registered
65 W JIMMIE LEEDS RD, ANESTHESIA DEPARTMENT
POMONA, NJ 08240
Atlantic County (609) 748-7597
DANA WIGHTMAN PA-C
Physician Assistant (Surgical)
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 441-8146

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 Crystal Bass's NPI number?

The NPI number for Crystal Bass is 1851655062. It was assigned to this individual provider in the NPPES registry on July 2, 2012.

Where is Crystal Bass located?

Crystal Bass practices at 65 W Jimmie Leeds Rd, Pomona, NJ 08240. The listed phone number is (609) 404-3817.

What is Crystal Bass's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Crystal Bass enrolled in Medicare?

Yes. Crystal Bass is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Crystal Bass was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.