Individual provider Active NPI

Lillian D Cassarello Fernandez, FNP

  • Family Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1104016955
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
334907 Issued in NY
Practice address
333 Westchester Ave
Suite E104
White Plains, NY 10604-2910
Phone
(914) 428-9213
Fax
(914) 428-9282
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 334907 NY Primary

Addresses

Primary practice location

333 Westchester Ave
Suite E104
White Plains, NY 10604-2910

Mailing address

333 Westchester Ave
Suite E104
White Plains, NY 10604-2910
Phone (914) 428-9213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170216002447 NY Practitioner - Nurse Practitioner 0840573895 Reassigns benefits to 1 organization
I20190403002437 NJ Practitioner - Nurse Practitioner 0840573895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Epilepsy and Neurophysiology Medical Consultants PAGroup PAC ID 5395706501, 22 clinicians
Epilepsy and Neurophysiology Medical Consulting PCGroup PAC ID 4082500624, 6 clinicians

Practice addresses (Care Compare)

20 Prospect Ave
Suite 800
Hackensack, NJ 07601-1974
Phone (201) 343-6676

333 Westchester Ave
Suite E104
White Plains, NY 10604-2930
Phone (914) 428-3651

Hospital & facility affiliations

  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Epilepsy & Neurophysiology Medical Consulting PC CurrentSince Feb 1, 2017 Accepting new patients
Epilepsy & Neurophysiology Medical Consultants, PA Family CurrentSince Mar 18, 2019 Accepting new patients
Epilepsy & Neurophysiology Medical Consultants PA CurrentSince Mar 18, 2019 Accepting new patients
Practice Associates Medical Group Past Accepting new patients

Locations

20 Prospect Ave
Ste 800
Hackensack, NJ 07601
Phone (201) 343-6676

377 Jersey Ave
Ste 440
Jersey City, NJ 07302
Phone (201) 289-5551

200 S Orange Ave
Ste 275
Livingston, NJ 07039
Phone (732) 235-6333

310 Madison Ave
Ste 302
Morristown, NJ 07960
Phone (973) 695-8033

303 George St
Ste 420
New Brunswick, NJ 08901
Phone (732) 828-1373

90 Bergen St
Ste 4100
Newark, NJ 07103
Phone (201) 996-3205

2 Capital Way
Fl 2
Pennington, NJ 08534
Phone (908) 522-4990

33 Overlook Rd
Ste 104
Summit, NJ 07901
Phone (908) 516-2041

401 Hamburg Tpke
Ste 205
Wayne, NJ 07470
Phone (201) 996-3205

737 Castleton Ave
Staten Island, NY 10310
Phone (718) 655-6595

333 Westchester Ave
Ste E104
White Plains, NY 10604
Phone (914) 428-9213

333 Westchester Ave
Ste E106
White Plains, NY 10604
Phone (845) 337-0035

690 N Broadway
Rear GL1
White Plains, NY 10603

6907 43rd Ave
Ste C2
Woodside, NY 11377
Phone (718) 830-3772

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1104016955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WESTCHESTER AVE",
            "address_2": "SUITE E104",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042910",
            "telephone_number": "914-428-9213",
            "fax_number": "914-428-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WESTCHESTER AVE",
            "address_2": "SUITE E104",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042910",
            "telephone_number": "914-428-9213",
            "fax_number": "914-428-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSARELLO FERNANDEZ",
        "first_name": "LILLIAN",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.