Individual provider Active NPI

Daniella Casimir, FNP

  • Family Nurse Practitioner
  • Jamaica, NY
National Provider Identifier
1427377571
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
336140 Issued in NY
Practice address
14036 170TH St
Jamaica, NY 11434-4632
Phone
(347) 495-5216
NPI assigned
May 27, 2010
Last updated
Jul 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 336140 NY Primary

Addresses

Primary practice location

14036 170TH St
Jamaica, NY 11434-4632

Mailing address

14036 170TH St
Jamaica, NY 11434-4632
Phone (347) 495-5216

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
I20101026000041 NY Practitioner - Nurse Practitioner 3779776570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14036 170TH St
Jamaica, NY 11434-4632

31 Edward Rd
Beach lake, PA 18405-4055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
336140NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rimisac Family Health NP PC CurrentSince Jun 10, 2014 Accepting new patients
Terrado-Estira Quality Care Practice Inc Past Accepting new patients
Rimisac Family Health NP PC PastSince Mar 24, 2014 Accepting new patients
Rimisac Family Health NP PC PastSince Mar 24, 2014 Accepting new patients

Locations

120 Benchley Pl
Frnt 2
Bronx, NY 10475
Phone (347) 843-7760

13506 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 374-3939

Networks

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

Organizations & group practices 4

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1427377571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14036 170TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344632",
            "telephone_number": "347-495-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14036 170TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344632",
            "telephone_number": "347-495-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIMIR",
        "first_name": "DANIELLA",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.