Domenick John Masiello, DO

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

167000 Issued in NY

Practice address

430 Old Sib Rd
Ridgefield, CT 06877-2335

Phone

(203) 826-3582

Fax

(855) 798-2816

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

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 2

Specialty

Osteopathic Manipulative MedicineAlso: Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 1985

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Holistic Family Medicine LLC

  • Family Medicine Physician
  • Ridgefield, CT
  • NPI 1114269032

  Neuromusculoskeletal Medicine & Omm

  Medicare reassignment NPD Authorized official
• Holistic Family Medicine LLC

  • Family Medicine Physician
  • New York, NY
  • NPI 1376895797

  Neuromusculoskeletal Medicine & Omm

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1184747305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 OLD SIB RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068772335",
            "telephone_number": "212-688-4818",
            "fax_number": "855-798-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 OLD SIB RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068772335",
            "telephone_number": "203-826-3582",
            "fax_number": "855-798-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASIELLO",
        "first_name": "DOMENICK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "167000",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "000278",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "167000",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CT",
            "license": "000278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocco F Marotta, MD
• Jay W Martin, D.D.S.
• Maria Mascardo, MD
• Renato Nadal Mascardo, MD, PC
• Christopher Charles Mascetta, DC
• Matri Mental Health, PLLC
• Brooke Matzke, M.S., BCBA, LBA
• Michal Maziarz
• Kathleen Claire McAuliffe, FNP- BC
• Patrick McAuliffe, PHD

• Neuromusculoskeletal Medicine & OMM Physician in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.