Individual provider Active NPI

Casey Bifone, PA

  • Physician Assistant
  • New York, NY
National Provider Identifier
1467856989
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
018042 Issued in NY
Practice address
622 W 168TH St
New York, NY 10032-3720
Phone
(212) 305-2500
NPI assigned
Oct 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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 018042 NY Primary

Addresses

Primary practice location

622 W 168TH St
New York, NY 10032-3720

Mailing address

2891 Montgomery St
Wantagh, NY 11793-2311
Phone (516) 770-4387

Other identifiers 1

IdentifierTypeStateIssuer
04381215MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160830002103 NY Practitioner - Physician Assistant 4587959572 Reassigns benefits to 3 organizations
I20171030002768 CA Practitioner - Physician Assistant 4587959572 Reassigns benefits to 2 organizations
I20260506000766 MA Practitioner - Physician Assistant 4587959572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mill Basin Medical Health PCGroup PAC ID 9133566128, 104 clinicians
Ma SNF on Call PLLCGroup PAC ID 4789160250, 13 clinicians

Practice addresses (Care Compare)

1 Long Beach Rd
Island Park, NY 11558-2254
Phone (646) 296-1508

14310 20TH Ave
Whitestone, NY 11357-3046
Phone (646) 296-1508

15 Saint Pauls PL
Great Neck, NY 11021-2636
Phone (646) 296-1508

154 Prospect Ave
Plattsburgh, NY 12901-1302
Phone (646) 296-1508

1583 E 66TH St
FL 1
Brooklyn, NY 11234-6005
Phone (646) 296-1508

1657 Sunset Ave
Utica, NY 13502-5415
Phone (646) 296-1508

168 W Central St
Natick, MA 01760-4122
Phone (508) 655-1000

257 State St
Batavia, NY 14020-1044
Phone (646) 296-1508

28652 State Hwy 23
Stamford, NY 12167-1712
Phone (646) 296-1508

3230 Church St
Valatie, NY 12184-2303
Phone (646) 296-1508

330 Chestnut St
Oneonta, NY 13820-1212
Phone (646) 296-1508

331 Russell St
Chittenango, NY 13037-1201
Phone (646) 296-1508

425 Beach Ave
Rochester, NY 14612-2011
Phone (646) 296-1508

428 Route 146
Altamont, NY 12009-4409
Phone (646) 296-1508

434 Monroe Ave
Hornell, NY 14843-2236
Phone (646) 296-1508

60 Merrick Ave
East Meadow, NY 11554-1578
Phone (646) 296-1508

801 N James St
Rome, NY 13440-3524
Phone (646) 296-1508

989 Blossom Rd
Rochester, NY 14610-2251
Phone (646) 296-1508

99 6TH Ave
Ilion, NY 13357-1527
Phone (646) 296-1508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango Memorial Hospital, Inc. Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cbifone2210157@nychhc.direct-ci.com

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, 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": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1467856989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 MONTGOMERY ST",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932311",
            "telephone_number": "516-770-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIFONE",
        "first_name": "CASEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04381215",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.