Individual provider Active NPI

Reginald Cassamajor, RPA

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1295260305
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
020771 Issued in NY
Practice address
1116 Grant Ave Apt 2a
Bronx, NY 10456-5028
Phone
(347) 500-0029
NPI assigned
Apr 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020771 NY Primary

Addresses

Primary practice location

1116 Grant Ave Apt 2a
Bronx, NY 10456-5028

Mailing address

1116 Grant Ave Apt 2a
Bronx, NY 10456-5028
Phone (347) 500-0029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170705002913 NY Practitioner - Physician Assistant 4880963982 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1613 Westchester Ave
Bronx, NY 10472-2914
Phone (718) 571-9407

193 W 237TH St
Bronx, NY 10463-4141
Phone (718) 303-0479

2 W Fordham Rd
Bronx, NY 10468-5359
Phone (646) 647-1255

2178 White Plains Rd
Bronx, NY 10462-1406
Phone (718) 489-3555

2393 Central Park Ave
Yonkers, NY 10710-1215
Phone (914) 219-0393

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

3494 Jerome Ave
Bronx, NY 10467-1002
Phone (718) 571-9282

388 E Fordham Rd
Bronx, NY 10458-5044
Phone (718) 489-3553

48 E 170TH St
Bronx, NY 10452-7013
Phone (718) 571-9313

68 E 161St St
Bronx, NY 10451-2207
Phone (718) 571-9139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020771NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Oct 23, 2020 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Oct 23, 2020 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: reginald.cassamajor.1@2983.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1295260305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 GRANT AVE APT 2A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104565028",
            "telephone_number": "347-500-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 GRANT AVE APT 2A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104565028",
            "telephone_number": "347-500-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSAMAJOR",
        "first_name": "REGINALD",
        "credential": "RPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.