Individual provider Active NPI

Maria Theresa Joy Casado, RN

  • Gerontology Registered Nurse
  • Flushing, NY
National Provider Identifier
1003385188
Registry record updated Nov 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
694746 Issued in NY
Practice address
13918 34TH Rd Apt B3
Flushing, NY 11354-6418
Phone
(516) 647-6611
NPI assigned
Nov 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 694746 NY Primary

Addresses

Primary practice location

13918 34TH Rd Apt B3
Flushing, NY 11354-6418

Mailing address

13918 34TH Rd Apt B3
Flushing, NY 11354-6418
Phone (516) 647-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
694746NYMDGerontology Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1542499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542499200000",
    "number": "1003385188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13918 34TH RD APT B3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546418",
            "telephone_number": "516-647-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13918 34TH RD APT B3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546418",
            "telephone_number": "516-647-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASADO",
        "first_name": "MARIA THERESA JOY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-18",
        "last_updated": "2018-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NY",
            "license": "694746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.