NPIMap

Individual provider Active NPI

Nicholas Lee Mascarenhas, MD

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1285111450
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A165220 Issued in CA
Practice address
2010 Zonal Ave # 1P10
Los Angeles, CA 90033-1026
Phone
(323) 409-5555
NPI assigned
Jul 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X A165220 CA Primary

Addresses

Primary practice location

2010 Zonal Ave # 1P10
Los Angeles, CA 90033-1026

Mailing address

2010 Zonal Ave # 1P10
Los Angeles, CA 90033-1026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230206001331 NY Practitioner - Psychiatry 6507255395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

525 E 68TH St
New York, NY 10065-4870
Phone (914) 682-9100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A165220CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The New York and Presbyterian Hospital Current Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 1, 2024 Accepting new patients
The New York and Presbyterian Hospital CurrentSince Oct 29, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 1, 2024 Accepting new patients
New York and Presbyterian Hosp Psychiatry CurrentSince Oct 29, 2022 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

156 William St
New York, NY 10038
Phone (646) 962-4679

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100

21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100

Networks

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

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: cpv9002@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1285111450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 ZONAL AVE # 1P10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 ZONAL AVE # 1P10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331026",
            "telephone_number": "323-409-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCARENHAS",
        "first_name": "NICHOLAS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-20",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A165220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.