Active NPI
Rose Cassidy, N.P.
- Nurse Practitioner
- New Hyde Park, NY
National Provider Identifier
1215049309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F300869
- Practice address
- 915 Hillside Ave
New Hyde Park, NY 11040-2529 - Phone
- (516) 437-9660
- Fax
- (516) 328-9355
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F300869 | NY | Primary |
Addresses
Primary practice location
915 Hillside Ave
New Hyde Park, NY 11040-2529
Mailing address
915 Hillside Ave
New Hyde Park, NY 11040-2529
Phone (516) 437-9660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96V361 | Other | NJ | BCBS |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F300869 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215049309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 HILLSIDE AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110402529",
"telephone_number": "516-437-9660",
"fax_number": "516-328-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 HILLSIDE AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110402529",
"telephone_number": "516-437-9660",
"fax_number": "516-328-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F300869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "96V361",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, 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.