Active NPI
Gerard R Cassista, B.S.,D.C.
- Chiropractor
- Dracut, MA
National Provider Identifier
1073573234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 553
- Practice address
- 1350 Lakeview Ave
Dracut, MA 01826-3497 - Phone
- (978) 957-5585
- Fax
- (978) 957-8258
- NPI assigned
- Mar 23, 2006
- Last updated
- Feb 24, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 553 | MA | Primary |
Addresses
Primary practice location
1350 Lakeview Ave
Dracut, MA 01826-3497
Mailing address
1350 Lakeview Ave
Dracut, MA 01826-3497
Phone (978) 957-5585
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0117046 | Other | MA | AETNA |
| 35446 | Other | MA | HPHC |
| Y35401 | Other | MA | BCBS |
| 713889 | Other | MA | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040923000669 | MA | Practitioner - Chiropractic | 3375511132 | Practice locations: Dracut, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1350 Lakeview Ave
Dracut, MA 01826-3424
Phone (978) 957-5585
1350 Lakeview Ave Dracut Ma
01826 Dracut Ma 01826
Dracut, MA 01826-3424
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 553 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerard Cassista | Chiropractor | Current | Accepting new patients |
Locations
1350 Lakeview Ave
Dracut, MA 01826
Phone (978) 957-5585
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, 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": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1073573234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 LAKEVIEW AVE",
"city": "DRACUT",
"state": "MA",
"postal_code": "018263497",
"telephone_number": "978-957-5585",
"fax_number": "978-957-8258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 LAKEVIEW AVE",
"city": "DRACUT",
"state": "MA",
"postal_code": "018263497",
"telephone_number": "978-957-5585",
"fax_number": "978-957-8258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSISTA",
"first_name": "GERARD",
"middle_name": "R",
"credential": "B.S.,D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "553",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0117046",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "35446",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y35401",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "713889",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dracut, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.