Carmine R. Mastrolia, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

145216 Issued in NY

Legal business name

CARMINE R. MASTROLIA, MD

Practice address

240 Broad St
Oneida, NY 13421-2148

Phone

(315) 363-9214

Fax

(315) 361-4968

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carmine R Mastrolia, MD

Title

Physician

Phone

(315) 363-9214

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360368000000",
    "number": "1043378367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 BROAD ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212148",
            "telephone_number": "315-363-9214",
            "fax_number": "315-361-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 BROAD ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212148",
            "telephone_number": "315-363-9214",
            "fax_number": "315-361-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMINE R. MASTROLIA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-02-09",
        "status": "A",
        "authorized_official_last_name": "MASTROLIA",
        "authorized_official_first_name": "CARMINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "315-363-9214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "145216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03104698",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Myles Campbell, RN
• Tina Campos
• Tarah Carinci
• Brent Evans Carlyle, MD
• Frances L Carmen, RN
• Kailee Catalano
• Andrew Cerow, MHC
• William Cesare Jr., CASAC
• Adriana Chapa, PHARMD
• Bernadette Chapman, CCC-SLP

• All providers in Oneida, NY
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2013; 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.