Individual provider Active NPI

Joann Cassimatis, D.D.S.

  • Dentist
  • Middletown, NY
National Provider Identifier
1679739254
Registry record updated Aug 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
040601-1 Issued in NY
Practice address
2 Albert St
Middletown, NY 10940-3902
Phone
(845) 342-5411
NPI assigned
Aug 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 040601-1 NY Primary

Addresses

Primary practice location

2 Albert St
Middletown, NY 10940-3902

Mailing address

2 Albert St
Middletown, NY 10940-3902
Phone (845) 342-5411

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150508001186 NY Order and Referring Only - DentistPractitioner - Dentist 6901125210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040601-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
David L. Ainbinder DDS PC 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": "1217635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217635200000",
    "number": "1679739254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ALBERT ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403902",
            "telephone_number": "845-342-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ALBERT ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403902",
            "telephone_number": "845-342-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIMATIS",
        "first_name": "JOANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-02",
        "last_updated": "2008-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "040601-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.