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DR. JACK BASTOW DPM
NPI 1881621423
Podiatrist - Foot Surgery in Albany, NY

Active since June 27, 2006
4 PALISADES DR, SUITE 250A, ALBANY, NY 12205(518) 458-1771(518) 459-7682 Get Directions Write a Review

NPPES record last updated: January 22, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jack Bastow Dpm NPPES

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

DR. JACK BASTOW DPM (NPI 1881621423) is an individual foot surgery provider in Albany, New York, licensed in New York (003886) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1881621423
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameDR. JACK BASTOWCredential: DPM
Location Address4 PALISADES DR, SUITE 250AAlbany, NY 12205-1443
Mailing Address4 Palisades Dr, Suite 250aAlbany, NY 12205-1443 · (518) 458-1771 · Fax (518) 459-7682
Phone(518) 458-1771
Fax(518) 459-7682
Sole ProprietorYes
Enumeration DateJune 27, 2006
Last NPPES UpdateJanuary 22, 2009
✔ NPI 1881621423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in NY · 003886
4 PALISADES DR, Albany, NY 12205
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINT51285NY
Medicare ID-Type Unspecified52414BNY

Other Providers at the Same Location NPPES 15

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

PRIME CARE PHYSICIANS, P.L.L.C.
Internal Medicine
4 PALISADES DR, SUITE 100
ALBANY, NY 12205
Albany County (518) 446-9545
DR. ARA KAYAYAN MD
Internal Medicine
4 PALISADES DR, SUITE 100
ALBANY, NY 12205
Albany County (518) 446-9545
DR. MARY E RAPPAZZO M.D.
Internal Medicine
4 PALISADES DR, SUITE 100
ALBANY, NY 12205
Albany County (518) 446-9545
HUDSON VALLEY FOOT ASSOCIATES, LLP
Podiatrist (Foot & Ankle Surgery)
4 PALISADES DR, SUITE 250A
ALBANY, NY 12205
Albany County (518) 458-1771
DR. MICHAEL E PERAZZELLI M.D.
Internal Medicine
4 PALISADES DR, SUITE 150
ALBANY, NY 12205
Albany County (518) 458-1245
MS. THERESE M. KHOURY RPA-C
Physician Assistant (Medical)
4 PALISADES DR, SUITE 100
ALBANY, NY 12205
Albany County (518) 446-9545
DR. HEATHER S KOPFF D.O.
Internal Medicine
4 PALISADES DR, SUITE 100
ALBANY, NY 12205
Albany County (518) 446-9545
DR. RONALD E HOENZSCH M.D.
Internal Medicine
4 PALISADES DR, SUITE 100
ALBANY, NY 12205
Albany County (518) 446-9545

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 Jack Bastow's NPI number?

The NPI number for Jack Bastow is 1881621423. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Jack Bastow located?

Jack Bastow practices at 4 Palisades Dr Suite 250A, Albany, NY 12205. The listed phone number is (518) 458-1771.

What is Jack Bastow's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Jack Bastow was last updated on January 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.