Anthony C. Casamassima, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

165728 Issued in NY

Practice address

30 S Ocean Ave
C/O Mintz & Schaffer
Freeport, NY 11520-3550

Phone

(516) 607-0910

Fax

(516) 623-4299

NPI assigned

Jan 15, 2011

Last updated

Feb 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1942505375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S OCEAN AVE",
            "address_2": "C/O MINTZ & SCHAFFER",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203550",
            "telephone_number": "516-607-0910",
            "fax_number": "516-623-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S OCEAN AVE",
            "address_2": "C/O MINTZ & SCHAFFER",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203550",
            "telephone_number": "516-607-0910",
            "fax_number": "516-623-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAMASSIMA",
        "first_name": "ANTHONY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-15",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NY",
            "license": "165728",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "165728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Carter, RN
• Itamar Carter, DMD
• Phyllis E. Carter, LCMFT
• Sharon Antoinette Carter, LPN
• Angela Marie Caruso, MSW
• Gina S Caso, MD
• Kathleen Mary Cassidy Brammer, LMSW
• Alexandra Castro
• Catholic Charities Dental Services
• Catholic Charities of the Diocese of Rockville Centre

• Pediatrics Physician in Freeport, NY
• Providers in Freeport, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.