Angela Ly'Nece Cassadime

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

86 Colgate St
Jersey City, NJ 07302-2202

Phone

(201) 420-7236

Fax

(201) 420-3672

NPI assigned

Sep 24, 2009

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1578897468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 COLGATE ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022202",
            "telephone_number": "201-420-7236",
            "fax_number": "201-420-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 COLGATE ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022202",
            "telephone_number": "201-420-7236",
            "fax_number": "201-420-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSADIME",
        "first_name": "ANGELA",
        "middle_name": "LY'NECE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmund Mario Caruso, DMD
• Carver Medical Group
• Casia Pediatrics LLC
• Jeffrey Paul Casia, M.D.
• Melissa Casielles, RN
• Marishell E Cassani, DC
• Michael Anthony Castano, NP
• Gillian Alejandra Castro Cuninghan
• Caridad Maria Castro Segura, LPC
• Shasta Victoria Grimes Castro-Penullar, BSPT

• Contractor in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Contractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.