Organization Active NPI

R J Mascitelli MD PC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1003184961
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
124151 Issued in NY
Legal business name
R J MASCITELLI MD PC
Practice address
420 E 72ND St
Ste 1J
New York, NY 10021-4650
Phone
(212) 472-7777
Fax
(212) 472-2272
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Natalya Barakayeva
Title
Office Manager
Phone
(212) 472-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 124151 NY Primary

Addresses

Primary practice location

420 E 72ND St
Ste 1J
New York, NY 10021-4650

Mailing address

420 E 72ND St
Ste 1J
New York, NY 10021-4650
Phone (212) 472-7777

National Provider Directory

National Provider Directory

Locations

420 E 72nd St
Ste 1J
New York, NY 10021
Phone (212) 744-9857

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1003184961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 72ND ST",
            "address_2": "STE 1J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214650",
            "telephone_number": "212-472-7777",
            "fax_number": "212-472-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 72ND ST",
            "address_2": "STE 1J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214650",
            "telephone_number": "212-472-7777",
            "fax_number": "212-472-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R J MASCITELLI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "BARAKAYEVA",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "212-472-7777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "124151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.