Active NPI
Cassandra Lynn Trimarco, RPA-C
- Surgical Physician Assistant
- Mineola, NY
National Provider Identifier
1215016183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 10748
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10748 | NY | MD | Surgical Physician Assistant |
Interoperability endpoints
- 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.