Jose C. Cabassa, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

262225 Issued in NY

Practice address

205 E 111TH St
New York, NY 10029-2901

Phone

(646) 864-0213

Fax

(646) 864-0237

NPI assigned

Feb 18, 2007

Sex

Male

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

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

Specialty

Neurology

Education

Temple University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sciometrix IncGroup PAC ID 9335511443, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (3 of 7)

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• Sciometrix Inc

  • General Practice Physician
  • Staten Island, NY
  • NPI 1457065591

  NY

  Medicare reassignment Care Compare group NPD
• Moving Brains Neurological Care, PLLC

  • Neurology Physician
  • New York, NY
  • NPI 1619472271

  NY

  Medicare reassignment Authorized official
• Suny Health Science Center at Brooklyn

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1386942555
  NPD (past)
• Sciometrix LLC

  • General Practice Physician
  • Royal Oak, MI
  • NPI 1619649894
  NPD (past)

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760526164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 MADISON RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105836445",
            "telephone_number": "267-304-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 111TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292901",
            "telephone_number": "646-864-0213",
            "fax_number": "646-864-0237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Ave",
            "address_2": "msc 1213",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032012",
            "country_code": "US",
            "telephone_number": "718-270-2502",
            "fax_number": "718-270-1946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABASSA",
        "first_name": "JOSE",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "262225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Robert Cabana, DMD
• Jennifer L Cabane
• Deborah Levine Cabaniss, M.D.
• Vennie Nino Cabantug
• Aurelio Soliven Cabaong Jr.
• Suajiry Cabassa
• Vanessa Cabatbat, NP
• Melanie Rose Cabatingan
• Alexis Tamara Cabbagestalk
• Yvonne Cabbagestalk, C.A.S.A.C.

• All providers in New York, NY
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.