Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Basilica Management Corp

Organization Case Management Agency · NPI 1407710825

Basilica Management Corp is a Case Management Agency in New York, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5030 Broadway Ste 664
New York, NY 10034-1612
Phone: (732) 789-0801
Fax: (718) 406-9994
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1407710825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shariff De Los Santos — Ceo · (732) 789-0801
NPI enumeratedDecember 10, 2025
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address5030 Broadway Ste 664, New York, NY 10034-1612

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