Individual provider Active NPI

Stephen Mastrianni, DO

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1174518211
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
183073 Issued in NY
Practice address
1833 Benson Ave
Brooklyn, NY 11214-3817
Phone
(718) 236-3880
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 183073 NY Primary

Addresses

Primary practice location

1833 Benson Ave
Brooklyn, NY 11214-3817

Mailing address

1833 Benson Ave
Brooklyn, NY 11214-3817
Phone (718) 236-3880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080508000566 NY Practitioner - Internal Medicine 0648369355 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians of University Hospital PCGroup PAC ID 5890877542, 58 clinicians

Practice addresses (Care Compare)

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-9292

Hospital & facility affiliations

  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160
  • Richmond University Medical Center Hospital, Staten Island, NY, CCN 330028
  • Carmel Richmond Healthcare and Rehabilitation Cent Nursing home, Staten Island, NY, CCN 335455
  • Archcare at Eger Health Care and Rehabilitation Ce Nursing home, Staten Island, NY, CCN 335332

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of University Hospital, PC CurrentSince Aug 1, 2016 Accepting new patients
Physicians of University Hospital, PC Internal Medicine Current Accepting new patients
Physicians of University Hospital PC Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Mastrianni Medical PLLC Past Accepting new patients
Eger Health Care and Rehabilitation Center Past Accepting new patients
Carmel Richmond Nursing Home, Inc. Past Accepting new patients

Locations

8012 3rd Ave
Brooklyn, NY 11209
Phone (718) 491-5454

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

140 Meisner Ave
Staten Island, NY 10306
Phone (718) 979-1800

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: smastrianni66771@northwell.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1174518211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 BENSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143817",
            "telephone_number": "718-236-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 BENSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143817",
            "telephone_number": "718-236-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRIANNI",
        "first_name": "STEPHEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "183073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.