Lily Mastronardi

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

46TA09075700 Issued in NJ

Practice address

600 S Livingston Ave
Livingston, NJ 07039-5419

Phone

(973) 422-0110

Fax

(973) 740-9007

NPI assigned

Dec 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Lily Yeong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1386973055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ROCK HILL RD",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775357",
            "telephone_number": "845-352-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S LIVINGSTON AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395419",
            "telephone_number": "973-422-0110",
            "fax_number": "973-740-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRONARDI",
        "first_name": "LILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "46TA09075700",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "001008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILY",
            "last_name": "YEONG",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Isabel Martinez
• Samantha Rose Martinez
• Melissa Martoccia
• Margaret Masiello, R.D.
• Joshua Mathew Massler, PSY.D., M.A.
• Shane Anthony Mata, PT, DPT
• Nadeen Matari
• Farah Mateo, RN
• Jacob J Mathew, M.D., PHARM.D.
• Sherry Mathew, PA-C

• Skilled Nursing Facility in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.