Active NPI
Andrew Ross Kasan
- Social Worker
- Massapequa, NY
National Provider Identifier
1992362040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 100522
- Practice address
- 5550 Merrick Rd Ste 200
Massapequa, NY 11758-6238 - Phone
- (631) 673-3233
- Fax
- (631) 673-1314
- NPI assigned
- May 23, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 100522 | NY | Primary |
Addresses
Primary practice location
5550 Merrick Rd Ste 200
Massapequa, NY 11758-6238
Mailing address
21 Louis Dr
Melville, NY 11747-1901
Other practice location 1
5550 Merrick Rd Ste 200
Massapequa, NY 11758-6238
Phone (631) 673-3233
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priyadarshan Bajpayi, M.D. PC | Past | Accepting new patients | |
| Ariana Lombardo, LMFT Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Massapequa, NY
- NPI 1336789783
-
- Psychiatry Physician
- Massapequa, NY
- NPI 1629534474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1992362040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 LOUIS DR",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117471901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 MERRICK RD STE 200",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117586238",
"telephone_number": "631-673-3233",
"fax_number": "631-673-1314"
}
],
"practiceLocations": [
{
"address_1": "5550 Merrick Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Massapequa",
"state": "NY",
"postal_code": "117586238",
"country_code": "US",
"telephone_number": "631-673-3233",
"fax_number": "631-673-1314",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KASAN",
"first_name": "ANDREW",
"middle_name": "ROSS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-23",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "100522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.