Active NPI
Cassandra Delly
- Legal Medicine
- Brooklyn, NY
National Provider Identifier
1588089809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 314770-1
- Practice address
- 651 E 80TH St
Brooklyn, NY 11236-3311 - Phone
- (347) 831-9527
- NPI assigned
- Feb 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 314770-1 | NY | Primary |
Addresses
Primary practice location
651 E 80TH St
Brooklyn, NY 11236-3311
Mailing address
651 E 80TH St Apt 1
Brooklyn, NY 11236-3311
Phone (347) 831-9527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RU64079G | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 314770-1 | NY | MD | Legal Medicine |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1588089809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 E 80TH ST APT 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363311",
"telephone_number": "347-831-9527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 E 80TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363311",
"telephone_number": "347-831-9527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLY",
"first_name": "CASSANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-24",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "NY",
"license": "314770-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RU64079G",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.