Individual provider Active NPI

Regina Massaro, NP

  • Nurse Practitioner
  • Hicksville, NY
National Provider Identifier
1235117664
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F3039651 Issued in NY
Practice address
350 S Broadway
Hicksville, NY 11801-5006
Phone
(516) 938-0100
Fax
(516) 938-0120
NPI assigned
Jan 5, 2006
Last updated
May 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F3039651 NY Primary

Addresses

Primary practice location

350 S Broadway
Hicksville, NY 11801-5006

Mailing address

1000 Zeckendorf Blvd
Garden City, NY 11530-2133
Phone (516) 542-6880

Other identifiers 1

IdentifierTypeStateIssuer
02574261MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, IA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041112000338 NY Practitioner - Nurse Practitioner 2769446525 Reassigns benefits to 8 organizations
I20231129000263 OH Practitioner - Nurse Practitioner 2769446525 Reassigns benefits to 1 organization
I20240516004044 IA Practitioner - Nurse Practitioner 2769446525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olaf Butchma DO PCGroup PAC ID 5597183244, 8 clinicians
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

3617 Parsons Blvd
Flushing, NY 11354-5931
Phone (718) 888-5200

510 Hicksville Rd
Massapequa, NY 11758-1203
Phone (516) 795-2626

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F3039651NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine & Rehabilitation of Long Island CurrentSince Mar 1, 2026 Accepting new patients
Mid Island Medical Associates, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Isaac Alamuri Physician PC CurrentSince Apr 1, 2010 Accepting new patients
Olaf Butchma DO PC CurrentSince Oct 1, 2020 Accepting new patients
CHS Physician Partners, P.C CurrentSince May 1, 2024 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Premier Cardiology Consultants, PLLC CurrentSince Dec 15, 2020 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Oct 23, 2023 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Apr 10, 2024 Accepting new patients
Leonardo N Saulle MD PC CurrentSince Dec 15, 2020 Accepting new patients
Brookview Medical Associates, PLLC Nurse Practitioner CurrentSince Oct 15, 2023 Accepting new patients
CHS Physician Partners, PC CurrentSince May 1, 2024 Accepting new patients

Locations

400 E Court Ave
Ste 110
Des Moines, IA 50309

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

234 Orinoco Dr
Brightwaters, NY 11718
Phone (631) 300-0079

3617 Parsons Blvd
Flushing, NY 11354
Phone (718) 888-5200

10810 72nd Ave
Forest Hills, NY 11375
Phone (718) 261-1471

1 Greenwich St
Hempstead, NY 11550
Phone (516) 353-3387

510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626

2001 Marcus Ave
Ste E249
New Hyde Park, NY 11042
Phone (516) 542-6880

287 Park Ave S
Fl 3
New York, NY 10010
Phone (917) 410-7931

27005 76th Ave
North New Hyde Pk, NY 11040

319 E Main St
Patchogue, NY 11772
Phone (631) 300-0797

10911 Jamaica Ave
Richmond Hill, NY 11418
Phone (516) 430-5971

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

540 Union Blvd
West Islip, NY 11795
Phone (631) 669-2555

78 Old Country Rd
Westhampton, NY 11977
Phone (631) 288-0101

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Networks

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

Interoperability endpoints

  • Direct secure messaging: regina.massaro.1@31700.direct.athenahealth.com
  • Direct secure messaging: rmassaro91782@direct-chsli.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1235117664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ZECKENDORF BLVD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302133",
            "telephone_number": "516-542-6880",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015006",
            "telephone_number": "516-938-0100",
            "fax_number": "516-938-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARO",
        "first_name": "REGINA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F3039651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02574261",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.