Individual provider Active NPI

Herbert Masser II, CSW-R

  • Genetic Counselor (M.S.)
  • Ithaca, NY
National Provider Identifier
1285781310
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
R039560 Issued in NY
Practice address
1919 Mecklenburg Rd
Ithaca, NY 14850-9237
Phone
(607) 273-9278
Fax
(607) 273-6613
NPI assigned
Jan 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X R039560 NY Primary

Addresses

Primary practice location

1919 Mecklenburg Rd
Ithaca, NY 14850-9237

Mailing address

1919 Mecklenburg Rd
Ithaca, NY 14850-9237
Phone (607) 273-9278

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080618000403 NY Practitioner - Clinical Social Worker 8426129479 Reassigns benefits to 2 organizations
Practice locations: Ithaca, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1919 Mecklenburg Rd
Ithaca, NY 14850-9237
Phone (607) 387-8213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care Psychology of Ny PC CurrentSince Sep 15, 2019 Accepting new patients
Family Services of Chemung County, Inc. CurrentSince Apr 17, 2019 Accepting new patients
Tinu Addams Medical PC Past Accepting new patients
North Fork House Calls, LLC PastSince Dec 20, 2020 Accepting new patients
Pathways, Inc. PastSince Nov 3, 2022 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1019 E Water St
Elmira, NY 14901
Phone (607) 733-5696

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

318 S Albany St
Ithaca, NY 14850
Phone (607) 273-4166

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285781310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 MECKLENBURG RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148509237",
            "telephone_number": "607-273-9278",
            "fax_number": "607-273-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 MECKLENBURG RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148509237",
            "telephone_number": "607-273-9278",
            "fax_number": "607-273-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSER",
        "first_name": "HERBERT",
        "name_suffix": "II",
        "credential": "CSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NY",
            "license": "R039560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.