Individual provider Active NPI

Cassandra Nichole Anderson, FNP

  • Registered Nurse
  • New Hyde Park, NY
National Provider Identifier
1003163726
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
666996 Issued in NY
Practice address
3000 Marcus Ave Ste 2W15
New Hyde Park, NY 11042-1005
Phone
(347) 223-7649
NPI assigned
Aug 13, 2012
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 666996 NY Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 347523 NY
Licensed Practical Nurse 164W00000X 308352-1 NY

Addresses

Primary practice location

3000 Marcus Ave Ste 2W15
New Hyde Park, NY 11042-1005

Mailing address

2758 Fish Ave
Bronx, NY 10469-5519
Phone (347) 223-7649

Other practice location 1

118-35 Queens Blvd
Ste 400
Forest Hill, NY 11375-7211
Phone (646) 722-7610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210420001636 NY Practitioner - Nurse Practitioner 1850709429 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
308352-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Medical Services of New York, PLLC Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
Remote Medical PC Single Specialty CurrentSince May 4, 2022 Accepting new patients
Divinity Medical Services PLLC Single Specialty CurrentSince Aug 5, 2021 Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

6619 13th Ave
Brooklyn, NY 11219
Phone (347) 970-9164

11835 Queens Blvd
Ste 400
Forest Hills, NY 11375
Phone (646) 722-7610

1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Interoperability endpoints

  • Direct secure messaging: caanderson@landmarkhealth-direct.org
  • Direct secure messaging: cassandra.anderson.1@33077.direct.athenahealth.com
  • Direct secure messaging: cassandraanderson@cayugacenters.medentdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1003163726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2758 FISH AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695519",
            "telephone_number": "347-223-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MARCUS AVE STE 2W15",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421005",
            "telephone_number": "347-223-7649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118-35 Queens Blvd",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "Forest Hill",
            "state": "NY",
            "postal_code": "113757211",
            "country_code": "US",
            "telephone_number": "646-722-7610",
            "fax_number": "347-535-3970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CASSANDRA",
        "middle_name": "NICHOLE",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "666996",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347523",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "308352-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.