Healthcare Provider Details

I. General information

NPI: 1861309031
Provider Name (Legal Business Name): JOSEPH M CASSETTA RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24A ROCHESTER RD
CARVER MA
02330-1515
US

IV. Provider business mailing address

24A ROCHESTER RD
CARVER MA
02330-1515
US

V. Phone/Fax

Practice location:
  • Phone: 617-917-4408
  • Fax: 781-242-3886
Mailing address:
  • Phone: 617-917-4408
  • Fax: 781-242-3886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN257506
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: