Pasquale Anthony Mastrostefano, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3995 Issued in RI

Practice address

347 Broadway
Providence, RI 02909

Phone

(401) 351-1560

Fax

(401) 351-1560

NPI assigned

Nov 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174695167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02909",
            "telephone_number": "401-351-1560",
            "fax_number": "401-351-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02909",
            "telephone_number": "401-351-1560",
            "fax_number": "401-351-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROSTEFANO",
        "first_name": "PASQUALE",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "3995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "6066 RIBC",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000606",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "001433",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristina Massey, SERVICE COORDINATOR
• Kayla Renee Massey, MD
• Natasha Massoudi, MD, MPH
• Kristie Marie Massucci
• Steven Francis Massucci, D.P.M
• Melinda Matanmi
• Alexandria Elizabeth Matarese, LICSW
• Jennifer Matarese
• Chantal Marie Mateo
• Cara A Mathews, MD

• Internal Medicine Physician in Providence, RI
• Providers in Providence, RI by specialty
• Internal Medicine Physician in Rhode Island

• 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.