Carol Ingrassia, CASAC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

302F00000X Issued in NY

Practice address

365 Main St
Hurleyville, NY 12747-5440

Phone

(845) 794-8080

Fax

(845) 794-8343

NPI assigned

May 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Carol Ingrassia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1902284813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 MAIN ST",
            "city": "HURLEYVILLE",
            "state": "NY",
            "postal_code": "127475440",
            "telephone_number": "845-794-8080",
            "fax_number": "845-794-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MAIN ST",
            "city": "HURLEYVILLE",
            "state": "NY",
            "postal_code": "127475440",
            "telephone_number": "845-794-8080",
            "fax_number": "845-794-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRASSIA",
        "first_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "302F00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "INGRASSIA",
            "prefix": "MRS.",
            "credential": "CASAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Miriam Axelrod, M.D.
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• Eileen Miller, PT, DPT, PLLC
• Sheila R Haber, LMHP
• Anneliese Hartman, MS, BCBA
• Rochel Leah Klahr
• Kaitlin Elizabeth Lacey, LMSW
• Kaitlin E Parks, OTR/L
• Prasad Children'S Dental Heath Program, Inc
• Sullivan Paramedicine, Inc

• Exclusive Provider Organization in Hurleyville, NY
• Providers in Hurleyville, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.