Individual provider Active NPI

Cassandra Niemela, ATC, SCAT

  • Student in an Organized Health Care Education/Training Program
  • Berkeley Heights, NJ
National Provider Identifier
1790162824
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
1477 Issued in SC
Practice address
4 Ridge Dr
Berkeley Heights, NJ 07922-2110
Phone
(908) 577-6600
NPI assigned
Apr 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 1477 SC Primary

Addresses

Primary practice location

4 Ridge Dr
Berkeley Heights, NJ 07922-2110

Mailing address

4 Ridge Dr
Berkeley Heights, NJ 07922-2110
Phone (908) 577-6600

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

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1790162824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RIDGE DR",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222110",
            "telephone_number": "908-577-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RIDGE DR",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222110",
            "telephone_number": "908-577-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMELA",
        "first_name": "CASSANDRA",
        "credential": "ATC, SCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SC",
            "license": "1477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.