Organization Active NPI

Philip R. Cassar M.D., P.C.

  • Gastroenterology Physician
  • Garden City, NY
National Provider Identifier
1205006236
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
233299 Issued in NY
Legal business name
PHILIP R. CASSAR M.D., P.C.
Practice address
901 Stewart Ave
Suite 240
Garden City, NY 11530-4893
Phone
(516) 458-6258
Fax
(631) 223-2271
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Dr. Philip Raymond Cassar, M.D.
Title
Physician
Phone
(515) 458-6258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 233299 NY Primary

Addresses

Primary practice location

901 Stewart Ave
Suite 240
Garden City, NY 11530-4893

Mailing address

14 Maurice LN
Huntington, NY 11743-1843
Phone (516) 458-6258

Other identifiers 1

IdentifierTypeStateIssuer
233299OtherNYLICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1205006236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAURICE LN",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117431843",
            "telephone_number": "516-458-6258",
            "fax_number": "631-223-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 STEWART AVE",
            "address_2": "SUITE 240",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304893",
            "telephone_number": "516-458-6258",
            "fax_number": "631-223-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP R. CASSAR M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "CASSAR",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "515-458-6258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "233299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "233299",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.