Patrick Paul Mastroianni, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

023870 Issued in CT

Practice address

340 Capitol Ave
Bridgeport, CT 06606-5445

Phone

(203) 336-3306

Fax

(203) 336-5802

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael E Opalak MD PC

  • Neurological Surgery Physician
  • Bridgeport, CT
  • NPI 1265621163
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1073539367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 CAPITOL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065445",
            "telephone_number": "203-336-3306",
            "fax_number": "203-336-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 CAPITOL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065445",
            "telephone_number": "203-336-3306",
            "fax_number": "203-336-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROIANNI",
        "first_name": "PATRICK",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "023870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "0534330",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC PROVIDER ID",
            "identifier": "010023870CT05",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PROVIDER ID",
            "identifier": "002199",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BERKLEY CARE PROVIDER ID",
            "identifier": "061386448",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PROV. ID",
            "identifier": "ZS254",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taniya Mason
• Pasquale Masone, MD
• Ethelrenee Masso, LPN
• Murray R Master, M.D.
• Katelyn Mastrogiacomo, PA-C
• Claire Marie Mastromonaco, LMT
• Michealla Mastropietro, PHARMD
• Kirk Denys Matefy, LCSW
• Laura Matefy, PH.D.
• Robert Emil Matefy, PH.D.

• Specialist in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.