Active NPI
Marc R Kassman, RPH
- Pharmacist
- Rockaway Park, NY
National Provider Identifier
1184646986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045331
- Practice address
- 11514 Beach Channel Dr
Rockaway Park, NY 11694-2206 - Phone
- (718) 689-0948
- Fax
- (718) 691-4610
- NPI assigned
- Jul 24, 2006
- Last updated
- Nov 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 045331 | NY | Primary |
Addresses
Primary practice location
11514 Beach Channel Dr
Rockaway Park, NY 11694-2206
Mailing address
4137 220TH Place
Bayside, NY 11361
Phone (718) 423-7571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045331 | Other | NY | LICENSE |
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 Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beach Drugs Inc | Current | Accepting new patients | |
| SMK Pharmacy Corp | Past | Accepting new patients | |
| A & L Pharmacy Corp | Past | Accepting new patients |
Locations
11514 Beach Channel Dr
Rockaway Park, NY 11694
Phone (718) 318-5000
Organizations & group practices 3
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.
-
- Pharmacy
- Rockaway Park, NY
- NPI 1922894757
-
- Community/Retail Pharmacy
- Rockaway Beach, NY
- NPI 1023037256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1184646986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4137 220TH PLACE",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "11361",
"telephone_number": "718-423-7571",
"fax_number": "718-423-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11514 BEACH CHANNEL DR",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "116942206",
"telephone_number": "718-689-0948",
"fax_number": "718-691-4610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSMAN",
"first_name": "MARC",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "045331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "045331",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockaway Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.