Provider Demographics
NPI:1801885645
Name:CASEN 1 INC
Entity type:Organization
Organization Name:CASEN 1 INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-592-6060
Mailing Address - Street 1:1 AMES CT
Mailing Address - Street 2:SUITE 111
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-2328
Mailing Address - Country:US
Mailing Address - Phone:516-349-8332
Mailing Address - Fax:516-349-8378
Practice Address - Street 1:1 AMES CT
Practice Address - Street 2:SUITE 111
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-2328
Practice Address - Country:US
Practice Address - Phone:516-349-8332
Practice Address - Fax:516-349-8378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01363226Medicaid
0355640001Medicare ID - Type Unspecified
NY01363226Medicaid