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

Dr. Jay B. Basillote, MD

Individual provider Specialist · NPI 1245202555

Dr. Jay B. Basillote, MD is an Urology in Staten Island, New York. Graduated from State University of New York Downstate Medical Center in 1995, 31 years ago. Practices with Sovereign Medical Group LLC, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
31
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2071 Clove Rd Ste J
Staten Island, NY 10304-1612
Phone: (347) 774-8386
Fax: (718) 981-4261
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 214885 (NY)

Record details

NPI number1245202555
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 2, 2006
Last updated in NPPESJuly 22, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1995 (31 years in practice)
Group practice Sovereign Medical Group Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Staten Island