Individual provider Active NPI

Cassia Fajardo

  • Health Educator
  • Hawthorne, NY
National Provider Identifier
1205456936
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
7 Skyline Dr Ste 350
Hawthorne, NY 10532-2162
Phone
(914) 598-2366
NPI assigned
Apr 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

7 Skyline Dr Ste 350
Hawthorne, NY 10532-2162

Mailing address

1000 Lafayette Blvd Ste 1100
Bridgeport, CT 06604-4710
Phone (203) 683-5946

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://soleranetwork.force.com/networkpartnerportal/ Health Information Exchange (HIE) Solera Health, Inc.

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

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205456936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LAFAYETTE BLVD STE 1100",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044710",
            "telephone_number": "203-683-5946",
            "fax_number": "203-306-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SKYLINE DR STE 350",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322162",
            "telephone_number": "914-598-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "CASSIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://soleranetwork.force.com/networkpartnerportal/",
            "affiliation": "Y",
            "affiliationName": "Solera Health, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Participants' Data",
            "address_1": "111 W Monroe St Ste 300",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850031718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.