Mason Esc, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

224032-1 Issued in NY

Legal business name

MASON ESC, LLC

Practice address

10512 101St Ave
Ozone Park, NY 11416-2703

Phone

(718) 505-0100

NPI assigned

Dec 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Mason, MDNPI 1356390488

Title

Medical Director

Phone

(718) 505-0100

Specialties & licenses 1

Addresses

Other names 1

• Mason Eye Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Fateh Mason, MD

  • Ophthalmology Physician
  • Woodside, NY
  • NPI 1356390488
  NPD (past) Authorized official

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1285065490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 51ST STREET",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-505-0100",
            "fax_number": "347-935-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10512 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162703",
            "telephone_number": "718-505-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON ESC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-505-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "224032-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mason Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Erica Marlieb, PHARMD
• Christopher Mars
• Analia L Marte
• Sabrina M Martinez
• Marvel Pharmacy Inc
• Mason Eye Care LLC
• Scott Masterson
• Alondra Matamoros, DOULA
• Solomon Matatov
• Luis R Matos, LCSW

• Ambulatory Surgical Clinic/Center in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.