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

Nissim Bassoul, MD

Individual provider Pediatrics Physician · NPI 1023071701

Nissim Bassoul, MD is a Pediatrics Physician in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2490 Ocean Pkwy
Brooklyn, NY 11235-6132
Phone: (718) 496-4607
Fax: (718) 382-1920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 1861601 (NY)

Record details

NPI number1023071701
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2006
Last updated in NPPESJanuary 10, 2022
Certification dateJanuary 10, 2022

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