Organization Active NPI

Delcasse Joseph MD PC

  • Specialist
  • Freeport, NY
National Provider Identifier
1174618177
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
224275-1 Issued in NY
Legal business name
DELCASSE JOSEPH MD PC
Practice address
294 W Merrick Rd
Suite# 6
Freeport, NY 11520-3374
Phone
(516) 377-2946
Fax
(516) 377-2948
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Omrita Rickheeram
Title
Manager
Phone
(516) 378-0137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 224275-1 NY Primary

Addresses

Primary practice location

294 W Merrick Rd
Suite# 6
Freeport, NY 11520-3374

Mailing address

PO Box 695
Baldwin, NY 11510-0579
Phone (516) 377-2946

National Provider Directory

National Provider Directory

Locations

294 W Merrick Rd
Ste 6
Freeport, NY 11520
Phone (516) 201-0726

320 W Merrick Rd
Freeport, NY 11520
Phone (516) 377-2946

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174618177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 695",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115100579",
            "telephone_number": "516-377-2946",
            "fax_number": "516-377-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 W MERRICK RD",
            "address_2": "SUITE# 6",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203374",
            "telephone_number": "516-377-2946",
            "fax_number": "516-377-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELCASSE JOSEPH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICKHEERAM",
        "authorized_official_first_name": "OMRITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-378-0137",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "224275-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.