MARY ELLEN CASSIDY (NPI# 1114101615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114101615 |
| Entity Type | Individual |
| Full Name | MARY ELLEN CASSIDY |
| Credential | PA |
| Practice Address |
935 Northern Blvd Suite 300 Great Neck NY 11021-5316 |
| Mailing Address |
68 S Service Rd Suite 350 Melville NY 11747-2354 |
| Practice Telephone | 5164669062 |
| Practice Fax Number | 5164669081 |
| Mailing Telephone | 5169453000 |
| Mailing Fax Number | 5169453131 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2009-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 002298 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
935 NORTHERN BLVD SUITE 300 |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021-5316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952395683 | Alan J Kluger | Internal Medicine | 935 Northern Blvd, Suite 106, Great Neck, NY 11021-5309 | 2005-09-08 |
| 1295191542 | Nicole Lippman | Psychologist | 935 Northern Blvd, Bio Behavioral Institute, Great Neck, NY 11021 | 2015-12-31 |
| 1316311756 | Genevieve Lauren Gans | Social Worker | 935 Northern Blvd, Suite 102, Great Neck, NY 11021-5316 | 2015-11-23 |
| 1295108793 | Yangsheng Acupuncture PC | Acupuncturist | 935 Northern Blvd, Suite:303, Great Neck, NY 11021-5316 | 2015-11-05 |
| 1710313770 | Katharine Elizabeth Donnelly | Psychologist | 935 Northern Blvd, Suite #102, Great Neck, NY 11021-5316 | 2013-09-23 |
| 1063702710 | Alliad Pediatrics | Physician Assistant | 935 Northern Blvd, Great Neck, NY 11021-5316 | 2011-04-14 |
| 1841427150 | Bsd Plastic Surgical Suites, Inc | Clinic/Center | 935 Northern Blvd, Ste 302, Great Neck, NY 11021-5316 | 2009-06-12 |
| 1063659555 | Bio Behavioral Psychology P.C. | Psychologist | 935 Northern Blvd, Suite 102, Great Neck, NY 11021-5316 | 2009-01-21 |
| 1265605752 | North Shore - Lij Radiology Services, PC | Radiology | 935 Northern Blvd, Suite 200, Great Neck, NY 11021-5316 | 2008-04-07 |
| 1700062635 | David Sacrestano | Podiatrist | 935 Northern Blvd, Suite 107, Great Neck, NY 11021-5316 | 2008-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376177428 | Misagh Fasazadeh | Physician Assistant | 140 S Middle Neck Rd Apt 2e, Great Neck, NY 11021-3738 | 2020-02-27 |
| 1639530462 | Janet Hebroni | Physician Assistant | 15 North Rd, Great Neck, NY 11024-1933 | 2016-03-07 |
| 1063815942 | Peri Santodonato | Physician Assistant | 5 Imperial Ct, Great Neck, NY 11023-2240 | 2014-10-06 |
| 1952653248 | Keri Bianco | Physician Assistant | Northwell Health Orthopaedic Institute, 611 Northern Boulevard, Suite 200, Great Neck, NY 11021-5208 | 2012-10-10 |
| 1518254325 | Kevin Patrick Rooney | Physician Assistant | 900 Northern Blvd Ste 230, Great Neck, NY 11021-5302 | 2011-06-30 |
| 1336431576 | Ronit Shabtian | Physician Assistant | 5 Robin Way, Great Neck, NY 11021 | 2011-05-05 |
| 1336431535 | Yasaman Chadi | Physician Assistant | 90 Knightsbridge Rd, Great Neck, NY 11021-4546 | 2011-05-05 |
| 1568780179 | Dara Bruckner | Physician Assistant | 17 Brokaw Lane, Great Neck, NY 11023 | 2010-05-06 |
| 1972769578 | Lauren Taylor Tedesco | Physician Assistant | 611 Northern Blvd., Great Neck, NY 11021 | 2008-08-03 |
| 1053576660 | Ghazaleh Yasmeh | Physician Assistant | 60 Knights Bridge Rd, Apt# 1d, Great Neck, NY 11021 | 2008-07-23 |
| Find all providers in GREAT NECK | ||||
| City | GREAT NECK |
| Zip Code | 11021 |
Please comment or provide details below to improve the information on MARY ELLEN CASSIDY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.