Gerard Ryan Casimiro, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95021618 Issued in CA

Practice address

410 W 53Rd St Apt 514
New York, NY 10019-5634

Phone

(630) 815-2289

NPI assigned

Jul 15, 2022

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Vital Total Health Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • Walnut Creek, CA
  • NPI 1386107928
  NPD

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1831823764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W 53RD ST APT 514",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195634",
            "telephone_number": "630-815-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 53RD ST APT 514",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195634",
            "telephone_number": "630-815-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIMIRO",
        "first_name": "GERARD",
        "middle_name": "RYAN",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95021618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharonne Tahima Casimir, R.N
• Shavonne Tahima Casimir, R.N
• Pamela P Casimiro-Kirkbride, OTR/L
• Adriano Manuel Casimiro
• Clyde D Casimiro, CRNA
• Elisa Eve Casinader, LCSW
• Laura Sayre Caskey, OTR/L
• Marina F.B. Caskey, M.D.
• Rachel Ina Caskey, MD
• Vanessa P. Caskey, PSY.D.

• Acute Care Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Acute Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.