Individual provider Active NPI

Victor Mascitelli, M.D.

  • Specialist
  • Yonkers, NY
National Provider Identifier
1366558892
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1849811 Issued in NY
Practice address
944 N Broadway
Suite 102
Yonkers, NY 10701-1304
Phone
(914) 423-8118
Fax
(914) 968-5530
NPI assigned
Aug 21, 2006
Last updated
Jun 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1849811 NY Primary

Addresses

Primary practice location

944 N Broadway
Suite 102
Yonkers, NY 10701-1304

Mailing address

944 N Broadway
Suite 102
Yonkers, NY 10701-1304
Phone (914) 423-8118

Other identifiers 1

IdentifierTypeStateIssuer
0158758MedicaidNY

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621001853 NY Practitioner - Cardiovascular Disease (Cardiology) 2062497365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Slawomir Malendowicz MD PCGroup PAC ID 7113991720, 3 clinicians

Practice addresses (Care Compare)

944 N Broadway
Suite 102
Yonkers, NY 10701-1314
Phone (914) 423-8118

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.82 of 100Reported as individual
Quality
70.5
Improvement activities
40
Cost
78.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1849811NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
R & L Medical Associates, P C Specialist Current Accepting new patients
Slawomir Malendowicz MD PC CurrentSince Jan 1, 2009 Accepting new patients

Locations

177 Main St
Ste 361
Fort Lee, NJ 07024

1034 Morris Ave
Bronx, NY 10456
Phone (718) 681-1588

270 Seaman Ave
New York, NY 10034
Phone (212) 544-2185

102 Park Ave
Yonkers, NY 10703
Phone (914) 376-3770

944 N Broadway
Ste 102
Yonkers, NY 10701
Phone (914) 423-8118

984 N Broadway
Ste L05
Yonkers, NY 10701
Phone (914) 375-3755

Networks

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

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1366558892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 N BROADWAY",
            "address_2": "SUITE 102",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011304",
            "telephone_number": "914-423-8118",
            "fax_number": "914-968-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 N BROADWAY",
            "address_2": "SUITE 102",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011304",
            "telephone_number": "914-423-8118",
            "fax_number": "914-968-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCITELLI",
        "first_name": "VICTOR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1849811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158758",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.