MARINA BASTAWROSS DO
NPI 1922790765
Student in an Organized Health Care Education/Training Program in Jersey City, NJ

Q: What is Marina Bastawross's NPI number?

The NPI number for Marina Bastawross is 1922790765. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Q: What is Marina Bastawross's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marina Bastawross was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 22, 2023PECOS Enrolled

176 PALISADE AVE, JERSEY CITY, NJ 07306(201) 795-8200 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Marina Bastawross Do NPPES

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

MARINA BASTAWROSS DO (NPI 1922790765) is an individual student in an organized health care education/training program in Jersey City, New Jersey and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922790765

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARINA BASTAWROSSCredential: DO

Location Address176 PALISADE AVEJersey City, NJ 07306-1121

Mailing Address129 S 20th AveManville, NJ 08835-1639

Phone(201) 795-8200

Sole ProprietorNo

Enumeration DateMay 22, 2023

NPPES CertifiedMay 22, 2023

✔ NPI 1922790765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

176 PALISADE AVE, Jersey City, NJ 07306

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marina Bastawross Do 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.

MR. JACOB HERNANDEZ LAC

Marriage & Family Therapist