Healthcare Provider Details

I. General information

NPI: 1801885645
Provider Name (Legal Business Name): CASEN 1 INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 07/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 AMES CT SUITE 111
PLAINVIEW NY
11803-2328
US

IV. Provider business mailing address

1 AMES CT SUITE 111
PLAINVIEW NY
11803-2328
US

V. Phone/Fax

Practice location:
  • Phone: 516-349-8332
  • Fax: 516-349-8378
Mailing address:
  • Phone: 516-349-8332
  • Fax: 516-349-8378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier01363226
Identifier TypeMEDICAID
Identifier StateNY
Identifier Issuer

VIII. Authorized Official

Name: STEPHEN E NEWTON
Title or Position: PRESIDENT/CHIEF EXECUTIVE OFFICER
Credential:
Phone: 562-592-6060