Anthony Mastracco, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

692395 Issued in NY

Practice address

29 E Oneida St
Baldwinsville, NY 13027-2400

Phone

(315) 638-6018

NPI assigned

Oct 3, 2019

Last updated

Oct 3, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baldwinsville Central School District

  • Local Education Agency (LEA)
  • Baldwinsville, NY
  • NPI 1326195397
  NPD (past)

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1205477916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 E ONEIDA ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272400",
            "telephone_number": "315-638-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E ONEIDA ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272400",
            "telephone_number": "315-638-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRACCO",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "692395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Rose Marcy
• Margaret Gilmore-Resnick, LCSW, PLLC
• Marie C Sardo (Pathways Assessment and Consultation)
• Staci Marshall, PT, DPT
• Linda A Mason, LSW
• Nancy Louise Mayosky, R.N.
• Charles Robert McAllister
• Joanne McCracken, MS, CCC-SLP
• Emily Lynn McDonald
• Margaret McGarvie, M.A., CCC-SLP

• School Registered Nurse in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.