Individual provider Active NPI

Georges Jean Casimir, M.D

  • Psychiatry Physician
  • Rockville Centre, NY
National Provider Identifier
1295949741
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
157032 Issued in NY
Practice address
4 Andover Rd
Rockville Centre, NY 11570-1519
Phone
(917) 687-5694
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 157032 NY
Forensic Psychiatry Physician 2084F0202X 157032 NY
Psychiatry Physician 2084P0800X 157032 NY Primary
Geriatric Psychiatry Physician 2084P0805X 157032 NY

Addresses

Primary practice location

4 Andover Rd
Rockville Centre, NY 11570-1519

Mailing address

4 Andover Rd
Rockville Centre, NY 11570-1519
Phone (917) 687-5694

Other identifiers 1

IdentifierTypeStateIssuer
00861129MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090113000243 NY Practitioner - Psychiatry 2860555125 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY; Rockaway Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

585 Schenectady Ave
Brooklyn, NY 11203-1809
Phone (718) 604-5281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
157032NYMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Current Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jan 25, 2016 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jan 25, 2016 Accepting new patients
Welllife Network Inc. CurrentSince Sep 12, 2012 Accepting new patients
Downstate Mental Hygiene Associates Past Accepting new patients
Welllife Network Inc. Past Accepting new patients

Locations

14202 20th Ave
Fl 3
Flushing, NY 11351
Phone (718) 559-0516

14202 20th Ave
#3
Flushing, NY 11351

800 Northern Blvd
Great Neck, NY 11021
Phone (516) 829-8450

50 Water St
Fl 3
New York, NY 10004

227 Madison St
New York, NY 10002
Phone (212) 238-7000

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1295949741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ANDOVER RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701519",
            "telephone_number": "917-687-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ANDOVER RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701519",
            "telephone_number": "917-687-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIMIR",
        "first_name": "GEORGES",
        "middle_name": "JEAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NY",
            "license": "157032",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NY",
            "license": "157032",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "157032",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "157032",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00861129",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.