Cecilia Griffin Cassidy, APRN, CDE

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

292979 Issued in NY

Practice address

5 Cuba Hill Rd
Greenlawn, NY 11740

Phone

(631) 628-5000

NPI assigned

Feb 21, 2015

Last updated

Aug 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Cecilia Mary Criffin Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

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

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.

• North Shore Medical Group of the Mount Sinai School of Medicine

  dba Mount Sinai Doctors Long Island

  • Internal Medicine Physician
  • Greenlawn, NY
  • NPI 1275640609

  Single Specialty

  Medicare reassignment NPD
• North Shore Medical Group of the Mount Sinai School of Medicine

  • Internal Medicine Physician
  • Wantagh, NY
  • NPI 1992417323
  NPD

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1124410634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CUBA HILL RD",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401624",
            "telephone_number": "631-628-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CUBA HILL RD",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "11740",
            "telephone_number": "631-628-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Cuba Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Greenlawn",
            "state": "NY",
            "postal_code": "11740",
            "country_code": "US",
            "telephone_number": "631-628-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "CECILIA",
        "middle_name": "GRIFFIN",
        "credential": "APRN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-21",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "292979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECILIA",
            "last_name": "CRIFFIN",
            "middle_name": "MARY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John A Calamis
• Carol Joan Calev, RN
• Frank Campise, RPH
• Tyler David Cappello, MD
• Anna Carpentieri
• Roseann Cavallaro, DDS
• Casey Chambers
• Ann Marie Champney, L.C.S.W.
• Colin Key Chen, DO
• Bonnie Ergas Cheskes, MS OTR/L

• Adult Health Nurse Practitioner in Greenlawn, NY
• Providers in Greenlawn, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.