Individual provider Active NPI

Cassandra Isca Val, APN

  • Nurse Practitioner
  • Wayne, NJ
National Provider Identifier
1174064349
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00723800 Issued in NJ
Practice address
246 Hamburg Tpke
Wayne, NJ 07470
Phone
(973) 942-1141
Fax
(973) 942-1250
NPI assigned
Mar 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00723800 NJ Primary

Addresses

Primary practice location

246 Hamburg Tpke
Wayne, NJ 07470

Mailing address

158 Davey St
Bloomfield, NJ 07003-6203
Phone (908) 247-7323

Other practice location 1

1 sears drive
Suite 306
Paramus, NJ 07652
Phone (201) 830-2287

Other practice location 2

1 sears drive
Suite 306
Paramus, NJ 07652
Phone (201) 830-2287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20171108001854 NJ Practitioner - Nurse Practitioner 4981972288 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Physicians Healthcare Group IncGroup PAC ID 2567645401, 25 clinicians

Practice addresses (Care Compare)

246 Hamburg Tpke
Suite 201
Wayne, NJ 07470-2159
Phone (973) 754-2052

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00723800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Josephs Physicians Healthcare Group Inc CurrentSince Jul 20, 2019 Accepting new patients
Sovereign Medical Group, LLC CurrentSince Oct 2, 2017 Accepting new patients
Sovereign Medical Group LLC CurrentSince Oct 2, 2017 Accepting new patients
St. Joseph'S Healthcare, Inc. CurrentSince Jul 20, 2019 Accepting new patients

Locations

123 Highland Ave
Ste 302
Glen Ridge, NJ 07028
Phone (973) 748-9555

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

1 Sears Dr
Ste 306
Paramus, NJ 07652
Phone (201) 830-2287

703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

230 W Parkway
Ste 10
Pompton Plns, NJ 07444
Phone (908) 442-7011

246 Hamburg Tpke
Ste 201
Wayne, NJ 07470

999 McBride Ave
Ste B204
Woodland Park, NJ 07424
Phone (973) 256-5667

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.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1174064349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 DAVEY ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070036203",
            "telephone_number": "908-247-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-942-1141",
            "fax_number": "973-942-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 sears drive",
            "address_2": "Suite 306",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "07652",
            "country_code": "US",
            "telephone_number": "201-830-2287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 sears drive",
            "address_2": "Suite 306",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "07652",
            "country_code": "US",
            "telephone_number": "201-830-2287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAL",
        "first_name": "CASSANDRA",
        "middle_name": "ISCA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00723800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.