Dominick Massaro, CDC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2925 Hamburg St
St Peters Addiction Recovery Center
Schenectady, NY 12303-4343

Phone

(518) 357-2909

Fax

(518) 357-2937

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033284732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 FAIRLAWN PKWY",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123092307",
            "telephone_number": "518-357-2909",
            "fax_number": "518-357-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 HAMBURG ST",
            "address_2": "ST PETERS ADDICTION RECOVERY CENTER",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123034343",
            "telephone_number": "518-357-2909",
            "fax_number": "518-357-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARO",
        "first_name": "DOMINICK",
        "credential": "CDC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Carlson, LCSW, PLLC
• Mary Lafountain LCSW PLLC
• Sarah Maryhugh, OTR/L
• Morgan Nichole Masaitis, MASTERS
• Heather Mashuta, RN
• Jordan Massie, LPN
• Celecia P Mastrianni, FNP-C
• Mary Elizabeth Mastrianni, FNP
• Marcie Mastrogiovanni
• Katelyn Ann Masullo

• Addiction (Substance Use Disorder) Counselor in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.