Individual provider Active NPI

Samantha Casco, RN

  • Registered Nurse
  • Staten Island, NY
National Provider Identifier
1124614565
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
698336 Issued in NY
Practice address
276 Eltingville Blvd
Staten Island, NY 10312-2407
Phone
(347) 280-4557
NPI assigned
Dec 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Registered Nurse 163W00000X 698336 NY Primary

Addresses

Primary practice location

276 Eltingville Blvd
Staten Island, NY 10312-2407

Mailing address

276 Eltingville Blvd
Staten Island, NY 10312-2407
Phone (347) 280-4557

Other practice location 1

116 W 32nd St
New York, NY 10001-3212
Phone (212) 564-2350

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL scasco0011@gmail.com Health Information Exchange (HIE)
Other URL TheraCare
CONNECT URL scasco0011@gmail.com

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
698336NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1124614565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 ELTINGVILLE BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122407",
            "telephone_number": "347-280-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 ELTINGVILLE BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122407",
            "telephone_number": "347-280-4557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100013212",
            "country_code": "US",
            "telephone_number": "212-564-2350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASCO",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "698336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "scasco0011@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "276 Eltingville Blvd",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103122407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TheraCare",
            "affiliation": "N",
            "address_1": "116 W 32nd St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100013212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "scasco0011@gmail.com",
            "affiliation": "N",
            "address_1": "116 W 32nd St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100013212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.