Individual provider Active NPI

Gina S Caso, MD

  • Internal Medicine Physician
  • Freeport, NY
National Provider Identifier
1720076060
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
164466 Issued in NY
Practice address
155 W Merrick Rd
Suite 101
Freeport, NY 11520-3743
Phone
(516) 379-3139
Fax
(516) 379-5790
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 164466 NY Primary

Addresses

Primary practice location

155 W Merrick Rd
Suite 101
Freeport, NY 11520-3743

Mailing address

155 W Merrick Rd
Suite 101
Freeport, NY 11520-3743
Phone (516) 379-3139

Other identifiers 1

IdentifierTypeStateIssuer
01880120MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110627000102 NY Practitioner - Internal Medicine 4082660246 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
164466NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine Internal Medicine Current Accepting new patients
Mount Sinai School of Medicine Internal Medicine Current Accepting new patients
South Nassau Internal Medicine Associates, LLP Internal Medicine Current Accepting new patients
Mount Sinai School of Medicine Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Mount Sinai School of Medicine CurrentSince Feb 1, 2019 Accepting new patients

Locations

155 W Merrick Rd
Ste 101
Freeport, NY 11520
Phone (516) 379-3139

155 W Merrick Rd
Freeport, NY 11520
Phone (516) 379-3062

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

185 Merrick Rd
Lynbrook, NY 11563
Phone (516) 593-3535

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

Organizations & group practices 6

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1720076060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W MERRICK RD",
            "address_2": "SUITE 101",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203743",
            "telephone_number": "516-379-3139",
            "fax_number": "516-379-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W MERRICK RD",
            "address_2": "SUITE 101",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203743",
            "telephone_number": "516-379-3139",
            "fax_number": "516-379-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASO",
        "first_name": "GINA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "164466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01880120",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

Verify at the official NPI Registry.