Active NPI
Arlene Margaret Massaro, M.D.
- Pediatrics Physician
- Cary, NC
National Provider Identifier
1417910324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 96-00049
- Practice address
- 1100 NW Maynard Rd
Unit 110
Cary, NC 27513-8706 - Phone
- (919) 469-1989
- Fax
- (919) 469-2191
- NPI assigned
- Apr 11, 2006
- Last updated
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 96-00049 | NC | Primary |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 96-00049 | NC |
Addresses
Primary practice location
1100 NW Maynard Rd
Unit 110
Cary, NC 27513-8706
Mailing address
1100 NW Maynard Rd
Unit 110
Cary, NC 27513-8706
Phone (919) 469-1989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8954585 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96-00049 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Pediatrics | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1417910324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 NW MAYNARD RD",
"address_2": "UNIT 110",
"city": "CARY",
"state": "NC",
"postal_code": "275138706",
"telephone_number": "919-469-1989",
"fax_number": "919-469-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 NW MAYNARD RD",
"address_2": "UNIT 110",
"city": "CARY",
"state": "NC",
"postal_code": "275138706",
"telephone_number": "919-469-1989",
"fax_number": "919-469-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSARO",
"first_name": "ARLENE",
"middle_name": "MARGARET",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "96-00049",
"primary": true
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "NC",
"license": "96-00049",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8954585",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.