Active NPI
Kasey Lynn Gaeta, ESQ.
- Pharmacist
- Staten Island, NY
National Provider Identifier
1649457656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046817-1
- Practice address
- 1654 Richmond Ave
Staten Island, NY 10314-1529 - Phone
- (718) 761-2900
- Fax
- (718) 761-0146
- NPI assigned
- Jan 22, 2008
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 046817-1 | NY | Primary |
Addresses
Primary practice location
1654 Richmond Ave
Staten Island, NY 10314-1529
Mailing address
1654 Richmond Ave
Staten Island, NY 10314-1529
Phone (718) 761-2900
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 |
|---|---|---|---|
| 046817-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1649457656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1654 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103141529",
"telephone_number": "718-761-2900",
"fax_number": "718-761-0146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1654 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103141529",
"telephone_number": "718-761-2900",
"fax_number": "718-761-0146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAETA",
"first_name": "KASEY",
"middle_name": "LYNN",
"credential": "ESQ.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046817-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.