Cassandra Marie Kuch Anderson, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

013595-1 Issued in NY

Practice address

1122 Broadway
Woodmere, NY 11598-1242

Phone

(516) 295-3838

NPI assigned

Jan 31, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1376815795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981242",
            "telephone_number": "516-295-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981242",
            "telephone_number": "516-295-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCH ANDERSON",
        "first_name": "CASSANDRA",
        "middle_name": "MARIE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-31",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013595-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haviva Lieba Kranz, CCC-SLP
• Marc D. Krauss, PSY.D.
• Sara Krenitsky, LMSW
• Robert Krinsky, MD
• Sarit Kritzman, DPT
• Adena Kurlander, O.T.
• Kurman-Tompkins LLC
• Quinn Karalyn Lacy, OTD, OTR
• Susanna Lamm, M.S.W., LCSW
• Jessica Lampert, LMSW

• Physician Assistant in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.