Active NPI
Casey Christine Mastronardi, FNP
- Family Nurse Practitioner
- Fishkill, NY
National Provider Identifier
1013588227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F347699-01
- Practice address
- 400 Westage Business Ctr Dr Ste 109
Fishkill, NY 12524-2231 - Phone
- (845) 765-0125
- NPI assigned
- Jul 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F347699-01 | NY | Primary |
Addresses
Primary practice location
400 Westage Business Ctr Dr Ste 109
Fishkill, NY 12524-2231
Mailing address
400 Westage Business Ctr Dr Ste 109
Fishkill, NY 12524-2231
Phone (845) 765-0125
Other names 1
- Miss Casey Christine Davis
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F347699-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Valley Fertility, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HBGDBA/Endpoint/HBGDBA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Reproductive Endocrinology Physician
- Fishkill, NY
- NPI 1922289545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1013588227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WESTAGE BUSINESS CTR DR STE 109",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125242231",
"telephone_number": "845-765-0125",
"fax_number": "845-765-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WESTAGE BUSINESS CTR DR STE 109",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125242231",
"telephone_number": "845-765-0125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTRONARDI",
"first_name": "CASEY",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2021-07-08",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F347699-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASEY",
"last_name": "DAVIS",
"middle_name": "CHRISTINE",
"prefix": "MISS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fishkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.