NPIMap

Individual provider Active NPI

Evelyn C Dier, PA

  • Physician Assistant
  • New York, NY
National Provider Identifier
1912024613
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
007970 Issued in NY
Practice address
1000 10TH Ave
Ste 10G / Roosevelt Hospital
New York, NY 10019-1147
Phone
(212) 636-3400
Fax
(212) 636-3296
NPI assigned
Mar 26, 2007
Last updated
May 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 007970 NY Primary

Addresses

Primary practice location

1000 10TH Ave
Ste 10G / Roosevelt Hospital
New York, NY 10019-1147

Mailing address

1000 10TH Ave Ste 10G
New York, NY 10019-1147
Phone (212) 636-3400

Other names 1

  • Mrs. Evelyn Casilum Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210604001986 NY Practitioner - Physician Assistant 3476603770 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
007970NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Mar 27, 2023 Accepting new patients
North Shore-Lij Medical PC CurrentSince Sep 1, 2021 Accepting new patients
New York University CurrentSince Oct 28, 2024 Accepting new patients
New York University CurrentSince Oct 28, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 4, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 4, 2021 Accepting new patients
Chenango Memorial Hospital, Inc. Physician Assistant Past Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

300 Community Dr
Manhasset, NY 11030

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

1 Dakota Dr
Ste 205
New Hyde Park, NY 11042
Phone (516) 656-6500

1 Dakota Dr
Ste 210
New Hyde Park, NY 11042

1 Dakota Dr
Ste 212
New Hyde Park, NY 11042

1000 10th Ave
Ste 10G
New York, NY 10019
Phone (212) 523-3144

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

1010 N Broadway
Yonkers, NY 10701
Phone (914) 968-3535

Networks

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

Interoperability endpoints

  • Direct secure messaging: edier668617@nyumc.direct-ci.com
  • Direct secure messaging: edier68172@direct.optum.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1912024613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE STE 10G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-636-3400",
            "fax_number": "212-636-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE",
            "address_2": "STE 10G / ROOSEVELT HOSPITAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-636-3400",
            "fax_number": "212-636-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIER",
        "first_name": "EVELYN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "007970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "CASILUM",
            "prefix": "MRS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.