MARY ELLEN CASSIDY PA
NPI 1114101615
Physician Assistant in Great Neck, NY

Active since December 20, 2007
935 NORTHERN BLVD, SUITE 300, GREAT NECK, NY 11021(516) 466-9062(516) 466-9081 Get Directions Write a Review

NPPES record last updated: November 12, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Ellen Cassidy Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELLEN CASSIDY PA (NPI 1114101615) is an individual physician assistant in Great Neck, New York, licensed in New York (002298) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1114101615
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY ELLEN CASSIDYCredential: PA
Location Address935 NORTHERN BLVD, SUITE 300Great Neck, NY 11021-5316
Mailing Address68 S Service Rd, Suite 350Melville, NY 11747-2354 · (516) 945-3000 · Fax (516) 945-3131
Fax(516) 466-9081
Sole ProprietorNo
Enumeration DateDecember 20, 2007
Last NPPES UpdateNovember 12, 2009
NPI 1114101615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 002298
Definition

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.

935 NORTHERN BLVD, Great Neck, NY 11021

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
935 NORTHERN BLVD, SUITE 204
GREAT NECK, NY 11021
Psychologist (Clinical)
935 NORTHERN BLVD, SUITE 102
GREAT NECK, NY 11021
Physician Assistant (Medical)
935 NORTHERN BLVD
GREAT NECK, NY 11021
Radiology (Diagnostic Radiology)
935 NORTHERN BLVD, SUITE 200
GREAT NECK, NY 11021
Obstetrics & Gynecology
935 NORTHERN BLVD, SUITE 105
GREAT NECK, NY 11021
Psychologist (Clinical)
935 NORTHERN BLVD, SUITE 102
GREAT NECK, NY 11021
Clinic/Center (Ambulatory Surgical)
935 NORTHERN BLVD, SUITE 302
GREAT NECK, NY 11021
Urology
935 NORTHERN BLVD, SUITE 303
GREAT NECK, NY 11021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ellen Cassidy's NPI number?

The NPI number for Mary Ellen Cassidy is 1114101615. It was assigned to this individual provider in the NPPES registry on December 20, 2007.

Where is Mary Ellen Cassidy located?

Mary Ellen Cassidy practices at 935 Northern Blvd Suite 300, Great Neck, NY 11021. The listed phone number is (516) 466-9062.

What is Mary Ellen Cassidy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mary Ellen Cassidy was last updated on November 12, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.