Active NPI
Elizabeth F,. Masten, M.D.
- Dermatology Physician
- Milford, DE
National Provider Identifier
1225128614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- C1-0001517
- Practice address
- 509 Lakeview Ave
Milford, DE 19963-2917 - Phone
- (302) 422-4581
- Fax
- (302) 424-4511
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | C10001517 | DE | |
| Dermatology Physician | 207N00000X | C1-0001517 | DE | Primary |
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | C1-0001517 | DE |
Addresses
Primary practice location
509 Lakeview Ave
Milford, DE 19963-2917
Mailing address
509 Lakeview Ave
Milford, DE 19963-2917
Phone (302) 422-4581
Other names 1
- Dr. Elizabeth F, Masten
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10001517 | DE | MD | Procedural Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1225128614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 LAKEVIEW AVE",
"city": "MILFORD",
"state": "DE",
"postal_code": "199632917",
"telephone_number": "302-422-4581",
"fax_number": "302-424-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 LAKEVIEW AVE",
"city": "MILFORD",
"state": "DE",
"postal_code": "199632917",
"telephone_number": "302-422-4581",
"fax_number": "302-424-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTEN",
"first_name": "ELIZABETH",
"middle_name": "F,.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "DE",
"license": "C10001517",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "DE",
"license": "C1-0001517",
"primary": true
},
{
"code": "207NI0002X",
"taxonomy_group": "",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": "DE",
"license": "C1-0001517",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "MASTEN",
"middle_name": "F,",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.