Individual provider Active NPI

Cassandra Lynn Trimarco, RPA-C

  • Surgical Physician Assistant
  • Mineola, NY
National Provider Identifier
1215016183
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10748 Issued in NY
Practice address
190 E Jericho Tpke
2ND Floor
Mineola, NY 11501-2033
Phone
(516) 977-9922
Fax
(516) 977-9926
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 10748 NY Primary

Addresses

Primary practice location

190 E Jericho Tpke
2ND Floor
Mineola, NY 11501-2033

Mailing address

25432 84TH Dr
Floral Park, NY 11001-1010
Phone (718) 343-5117

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

State licenses

LicenseStateTypeSpecialty
10748NYMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: ctrimarco384024@northwell.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215016183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25432 84TH DR",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011010",
            "telephone_number": "718-343-5117",
            "fax_number": "516-977-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E JERICHO TPKE",
            "address_2": "2ND FLOOR",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012033",
            "telephone_number": "516-977-9922",
            "fax_number": "516-977-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMARCO",
        "first_name": "CASSANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "10748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.