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NIKOLAI GAUNTLET CASSANOVA MD
NPI 1629919345
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 06, 2026
760 BROADWAY, BROOKLYN, NY 11206(646) 614-5318 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nikolai Gauntlet Cassanova Md NPPES

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

NIKOLAI GAUNTLET CASSANOVA MD (NPI 1629919345) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1629919345
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNIKOLAI GAUNTLET CASSANOVACredential: MD
Location Address760 BROADWAYBrooklyn, NY 11206-5317
Mailing Address760 BroadwayBrooklyn, NY 11206-5317 · (646) 614-5318
Phone(646) 614-5318
Sole ProprietorNo
Enumeration DateApril 6, 2026
NPPES CertifiedApril 5, 2026
✔ NPI 1629919345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
760 BROADWAY, Brooklyn, NY 11206
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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.

MIRIAM Y LITVINTCHOUK PA
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHAZA MOHAMMED ELHASSAN
Personal Emergency Response Attendant
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8430
MS. ABENA BANFUL
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHUJA AHMED SHAIK M.D.
Student in an Organized Health Care Education/Training Program
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8779
DR. GERALDINE ORENDAIN M.D.
Psychiatry & Neurology (Psychiatry)
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER
BROOKLYN, NY 11206
Kings County (718) 963-5793
MR. GUY KELLY P.A.
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
MRS. VIRGINIA J PRYCE N.P.
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
DR. ROGER GRANNUM DDS
Dentist (Oral and Maxillofacial Surgery)
760 BROADWAY, ORAL SURGERY ROOM 2C320
BROOKLYN, NY 11206
Kings County (718) 963-8000

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 Nikolai Cassanova's NPI number?

The NPI number for Nikolai Cassanova is 1629919345. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Nikolai Cassanova located?

Nikolai Cassanova practices at 760 Broadway, Brooklyn, NY 11206. The listed phone number is (646) 614-5318.

What is Nikolai Cassanova's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nikolai Cassanova was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.